scholarly journals Comparison of results and quality of life in patients with thyroid eye disease after different methods of orbital decompression

2021 ◽  
Vol 13 (3) ◽  
pp. 37-45
Author(s):  
Wen Zhu ◽  
Elena B. Katinas ◽  
Mikhail M. Solovyov ◽  
Karolina Fedotova ◽  
Andrey I. Yaremenko ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Visual Acuity ◽  
Visual Function ◽  
Thyroid Eye Disease ◽  
Eye Disease ◽  
Outcome Analysis ◽  
Facial Appearance ◽  
Life Questionnaire ◽  
Orbital Decompression

Purpose. To evaluate the changes in the quality of life of patients with thyroid eye disease after different methods of orbital decompression. Materials and methods. The study included 24 patients (37 orbits) with thyroid eye disease, aged 41.6 20.6 (from 20 to 79 years), 18 women and 6 men. The patients were divided into two groups. The first group included 12 patients (19 orbits) who underwent orbital fat decompression. The second group included 12 patients (18 orbits) who underwent endoscopic endonasal bony orbital decompression. The Graves ophthalmopathy quality of life questionnaire (GO-QOL) was completed before surgery, and 3 and 6 months after it. Outcome analysis included also the assessment of visual acuity, proptosis, eyelid retraction, and palpebral fissure height. Results. The GO-QOL visual function scores in both groups did not change significantly in 3 and in 6 months after orbital decompression (p 0.05): in the first group, before and after 6 months, scores were 69.27 20.02 and 68.96 18.44, in the second group 53.13 29.13 and 57.81 23.56, respectively. An improvement in the GO-QOL visual function estimation was observed in those patients whose visual acuity improved after surgery. The GO-QOL facial appearance scores significantly improved 3 months after surgery, and continued to increase up to 6 months: in the first group, facial appearance scores improved from 23.96 23.01 to 48.42 25.56 (p = 0.004), in the second group from 47.92 21.04 to 66.15 23.15 (p = 0.037). Conclusions. Orbital decompression significantly improves the quality of life of patients with thyroid eye disease, this is primarily associated with an improvement in facial appearance.

Gender differences in clinical presentation and prognosis of thyroid eye disease

2020 ◽  
pp. 112067212096411
Author(s):  
Ofira Zloto ◽  
Oded Sagiv ◽  
Ayelet Priel ◽  
Tali Cukierman-Yaffe ◽  
Amir Tirosh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Thyroid Eye Disease ◽  
Eye Disease ◽  
Clinical Activity ◽  
Life Questionnaire ◽  
Men And Women ◽  
Graves Orbitopathy ◽  
Eye Examination ◽  
Active Disease

Objective: To examine the clinical differences in manifestation, treatment, and prognosis of thyroid-eye-disease (TED) between men and women. Methods: This is a longitudinal cohort study. Men and women, who diagnosed with TED and treated at a multidisciplinary TED clinic, were compared regarding differences in demographics, eye examination, disease activity, and quality of life evaluation. Results: TED was diagnosed in 132 patients during the study period, and they included 38 men (28.78%) and 94 women (71.21%). There were six men and 20 women with active disease (Clinical-Activity-Score (CAS) ⩾ 3) during the entire follow-up period ( p < 0.01). The mean time from TED diagnosis to CAS ⩾ 3 was 4.50 years for men and 2.35 years for women ( p = 0.05). There were no significant differences in mean total Graves’ Orbitopathy-Quality-of-Life questionnaire (GO-QOL) score. However, mean GO-QOL subtotal score of external appearance of women was significantly lower compare to men in the first and last visit ( p = 0.04, 0.03, respectively). Conclusion: Active disease was more common in women and the time-from-diagnosis of TED to CAS ⩾ 3 was shorter among women. Moreover, the appearance QOL score of women was poorer. These findings should be taken into consideration when planning the timing of treatment and when choosing the best treatment for TED patients.

scholarly journals Development and Validation of the Singapore Thyroid Eye Disease Quality of Life Questionnaire

2018 ◽  
Vol 7 (5) ◽  
pp. 14 ◽  
Author(s):  
Melissa H. Y. Wong ◽  
Eva Fenwick ◽  
Ai Tee Aw ◽  
Ecosse L. Lamoureux ◽  
Lay Leng Seah
Keyword(s):  
Quality Of Life ◽  
Thyroid Eye Disease ◽  
Eye Disease ◽  
Life Questionnaire ◽  
Quality Of Life Questionnaire ◽  
Development And Validation

scholarly journals Vision related problems after cataract surgery

2017 ◽  
Vol 70 (9-10) ◽  
pp. 307-311
Author(s):  
Vladimir Canadanovic ◽  
Slobodanka Latinovic ◽  
Nikola Babic ◽  
Aleksandar Miljkovic ◽  
Desanka Grkovic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Visual Acuity ◽  
Cataract Surgery ◽  
Visual Function ◽  
Senile Cataract ◽  
Life Questionnaire ◽  
Life Index ◽  
Related Quality ◽  
Quality Of Life Index

Introduction. Senile cataract is an age-related eye disease and one of the most common causes of visual impairment. It is one of the most important causes of reversible blindness in the elderly persons, with a steady increase in prevalence with advanced age. The resulting loss of visual acuity has important implications for physical functions and the overall quality of life of affected individuals. However, cataract related visual loss is completely reversible with modern cataract surgery techniques. The purpose of the study was to evaluate the visual outcomes (visual acuity and visual function) before and after cataract surgery, and to assess patient satisfaction with final surgical outcomes. Material and Methods. This prospective study included 176 consecutive patients with senile cataract who underwent phacoemulsification with a foldable intraocular lens implantation. Evaluation of vision related problems of daily living was done in all patients using a vision related quality of life questionnaire, before and 10 days after the surgery. All patients self-rated their vision-related problems into 4 categories: no problems, small problems, big problems, and very big problems. The results were presented as a vision-related quality of life index. Results. There were 176 patients included in this study, with an average age of 65.4 ? 12 years. The operated patients had significantly better visual acuity than before cataract surgery (p < 0,001), with a median postoperative visual acuity of 0.8. Before cataract surgery, the average vision-related quality of life index was 53.7 (range 21.3 - 87.7). The self-rated vision related problems were present in 59.8% patients before senile cataract surgery, and only in 12.8% of patients undergoing phaco cataract surgery (p<0.001). Ten days after cataract surgery vision-related quality of life index improved to 92.9 (range 57.1 - 98.7). Conclusion. Visual function, self-estimated vision related problems and patients satisfaction are significantly higher after the phaco cataract surgery. We believe that vision related quality of life index is a valid and sensitive tool for visual function and vision-related quality of life evaluation.

scholarly journals The Psychosocial and Clinical Outcomes of Orbital Decompression Surgery for Thyroid Eye Disease and Predictors of Change in Quality of Life

Ophthalmology ◽  
2015 ◽  
Vol 122 (12) ◽  
pp. 2568-2576.e1 ◽  
Author(s):  
Sadie Wickwar ◽  
Hayley McBain ◽  
Daniel G. Ezra ◽  
Shashivadan P. Hirani ◽  
Geoffrey E. Rose ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Outcomes ◽  
Thyroid Eye Disease ◽  
Eye Disease ◽  
Decompression Surgery ◽  
Orbital Decompression ◽  
Predictors Of Change

Visual Acuity, Quality of Life and Visual Function Outcomes after Cataract Surgery in Bali

2015 ◽  
Vol 22 (4) ◽  
pp. 274-282 ◽  
Author(s):  
Lachlan Farmer ◽  
Cecilia Innes-Wong ◽  
Caroline Bergman-Hart ◽  
Robert J. Casson ◽  
John Crompton
Keyword(s):  
Quality Of Life ◽  
Visual Acuity ◽  
Cataract Surgery ◽  
Visual Function

Orbital decompression for thyroid eye disease: a comparison of external and endoscopic techniques

1997 ◽  
Vol 111 (11) ◽  
pp. 1051-1055 ◽  
Author(s):  
Valerie J. Lund ◽  
Genevieve Larkin ◽  
Peter Fells ◽  
Gillian Adams
Keyword(s):  
Visual Acuity ◽  
Endoscopic Approach ◽  
Thyroid Eye Disease ◽  
Eye Disease ◽  
Orbital Decompression ◽  
External Approach ◽  
Endoscopic Techniques

AbstractThe results of orbital decompression for thyroid eye disease are presented in a cohort of 33 patients. It was performed by an external Patterson approach in 21 individuals and in 13 by an endonasal endoscopic approach. The endoscopic approach was entirely comparable in respect of improvement in axial proptosis, giving a mean improvement of 4.4 mm as compared with a mean of 3.8 mm for the external approach, and produced a demonstrable improvement in visual acuity and perception of colour in three individuals, where this was compromised, and was associated with fewer complications.

scholarly journals Quality of life in thyroid eye disease: impact of quality of care

2011 ◽  
Vol 164 (5) ◽  
pp. 649-655 ◽  
Author(s):  
Stephanie Estcourt ◽  
Anthony G Quinn ◽  
Bijay Vaidya
Keyword(s):  
Quality Of Life ◽  
Quality Of Care ◽  
Thyroid Eye Disease ◽  
Eye Disease ◽  
Facial Disfigurement ◽  
Physical Discomfort ◽  
Disease Impact ◽  
Physical Consequences ◽  
The Impact

Thyroid eye disease (TED) is a chronic debilitating condition causing physical discomfort, facial disfigurement and impaired visual function. The physical consequences of TED could have a negative and lasting impact on patients' employment, hobbies and psychosocial function. In this review, we assess the evidence of the impact of TED on patients' quality of life (QOL) and also explore the effects of suboptimal quality of care on QOL of patients with this disease. It is hoped that recent initiatives, including the Amsterdam declaration, to raise the quality of care for patients with TED will help to improve their QOL.

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