Comparative evaluation of oculometric variables in graves' ophthalmopathy

OBJECTIVES: To estimate oculometric parameters of Graves' ophthalmopathy in comparison to healthy eyes using digital photography and digital image analysis. INTRODUCTION: Graves' ophthalmopathy is the main cause of eye proptosis. Because these protrusions cause clinically perceived distort...

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Main Authors: Hélio Amante Miot, Leonardo Parr dos Santos Fernandes, Edson Nassib Jorge, Daniel Rosito Pivotto, Célia Regina Nogueira, Gláucia Maria Ferreira da Silva Mazeto
Format: Article
Language:English
Published: Elsevier España 2009-01-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322009000900009
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author Hélio Amante Miot
Leonardo Parr dos Santos Fernandes
Edson Nassib Jorge
Daniel Rosito Pivotto
Célia Regina Nogueira
Gláucia Maria Ferreira da Silva Mazeto
author_facet Hélio Amante Miot
Leonardo Parr dos Santos Fernandes
Edson Nassib Jorge
Daniel Rosito Pivotto
Célia Regina Nogueira
Gláucia Maria Ferreira da Silva Mazeto
author_sort Hélio Amante Miot
collection DOAJ
description OBJECTIVES: To estimate oculometric parameters of Graves' ophthalmopathy in comparison to healthy eyes using digital photography and digital image analysis. INTRODUCTION: Graves' ophthalmopathy is the main cause of eye proptosis. Because these protrusions cause clinically perceived distortions in orbital architecture, digital photographs can be used to detect and quantify these changes. METHODS: We carried out a cross-sectional study comprising 12 healthy volunteers and 15 Graves' ophthalmopathy patients with the purpose of evaluating the use of simple, non-invasive digital photography to estimate oculometric parameters of Graves' ophthalmopathy and compare them with the parameters of unaffected eyes. Facial photographs of cases and controls were taken in a standardized manner. Oculometric parameters were compared between the groups and then correlated to proptometer measures. RESULTS: All estimated oculometric variables showed significant differences between the groups, in particular with regard to mediopupilar aperture, lateral height, distance from the iris edge to the lateral boundary of the palpebral fissure, and distance from the higher point of the iris to the lateral limit of the palpebral fissure. The product of medial aperture and horizontal palpebral fissure also revealed greater discrepancy between the groups. Proptometer measures showed significant linear correlation between the distance from the iris edge to the lateral boundary of the palpebral fissure and between the distance from the higher point of the iris to the lateral limit of palpebral fissure (p<0.05). CONCLUSIONS: Comparative analysis of oculometric parameters in Graves' ophthalmopathy suggests that eye proptosis is related to an asymmetric increase in lateral oculometric measures. Standardized digital photographs can be used in clinical practice to objectively estimate oculometric parameters of Graves' ophthalmopathy patients.
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spelling doaj.art-5b48e0e420544165a3d9154d55d319962022-12-22T02:27:13ZengElsevier EspañaClinics1807-59321980-53222009-01-0164988588910.1590/S1807-59322009000900009Comparative evaluation of oculometric variables in graves' ophthalmopathyHélio Amante MiotLeonardo Parr dos Santos FernandesEdson Nassib JorgeDaniel Rosito PivottoCélia Regina NogueiraGláucia Maria Ferreira da Silva MazetoOBJECTIVES: To estimate oculometric parameters of Graves' ophthalmopathy in comparison to healthy eyes using digital photography and digital image analysis. INTRODUCTION: Graves' ophthalmopathy is the main cause of eye proptosis. Because these protrusions cause clinically perceived distortions in orbital architecture, digital photographs can be used to detect and quantify these changes. METHODS: We carried out a cross-sectional study comprising 12 healthy volunteers and 15 Graves' ophthalmopathy patients with the purpose of evaluating the use of simple, non-invasive digital photography to estimate oculometric parameters of Graves' ophthalmopathy and compare them with the parameters of unaffected eyes. Facial photographs of cases and controls were taken in a standardized manner. Oculometric parameters were compared between the groups and then correlated to proptometer measures. RESULTS: All estimated oculometric variables showed significant differences between the groups, in particular with regard to mediopupilar aperture, lateral height, distance from the iris edge to the lateral boundary of the palpebral fissure, and distance from the higher point of the iris to the lateral limit of the palpebral fissure. The product of medial aperture and horizontal palpebral fissure also revealed greater discrepancy between the groups. Proptometer measures showed significant linear correlation between the distance from the iris edge to the lateral boundary of the palpebral fissure and between the distance from the higher point of the iris to the lateral limit of palpebral fissure (p<0.05). CONCLUSIONS: Comparative analysis of oculometric parameters in Graves' ophthalmopathy suggests that eye proptosis is related to an asymmetric increase in lateral oculometric measures. Standardized digital photographs can be used in clinical practice to objectively estimate oculometric parameters of Graves' ophthalmopathy patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322009000900009BiometryEye abnormalitiesGraves' diseaseGraves'OphthalmopathyPhotography
spellingShingle Hélio Amante Miot
Leonardo Parr dos Santos Fernandes
Edson Nassib Jorge
Daniel Rosito Pivotto
Célia Regina Nogueira
Gláucia Maria Ferreira da Silva Mazeto
Comparative evaluation of oculometric variables in graves' ophthalmopathy
Clinics
Biometry
Eye abnormalities
Graves' disease
Graves'
Ophthalmopathy
Photography
title Comparative evaluation of oculometric variables in graves' ophthalmopathy
title_full Comparative evaluation of oculometric variables in graves' ophthalmopathy
title_fullStr Comparative evaluation of oculometric variables in graves' ophthalmopathy
title_full_unstemmed Comparative evaluation of oculometric variables in graves' ophthalmopathy
title_short Comparative evaluation of oculometric variables in graves' ophthalmopathy
title_sort comparative evaluation of oculometric variables in graves ophthalmopathy
topic Biometry
Eye abnormalities
Graves' disease
Graves'
Ophthalmopathy
Photography
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322009000900009
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