Background
The study was conducted to analyze aqueous flare and it’s correlations in patients with Graves’ ophthalmopathy, undergoing orbital decompression, extra-ocular muscle and eyelid surgery. Prospective interventional case series.
Materials and Methods
48 eyes of 27 patients(20 female and 7 male, aged 54.4±5.7), undergoing surgical treatment for GO. 18 eyes of 9 patients (aged 55.3±3.6) undergoing orbital decompression. 19 eyes of 11 patients (aged 54.7±5.6) undergoing extraocular muscle surgery and 13 eyes of 7 patients (aged 53.9±4.9) undergoing eyelid surgery and control group (34 patients aged 53.9±5.1). Laser flare analysis, and clinical assessment was performed before surgery and 1 day, 7 days and 3 months following surgery.
Results
Aqueous flare was significantly higher in patients with GO (14.03 ± 8.45), before intervention than in the control group (7.89 ± 3.56) (p<0.001), and correlated with Clinical Activity Score and intraocular pressure. In the patients undergoing orbital decompression, flare increased from 17.77±10.63 pc/ms to 38.32±13.56 pc/ms on the first day, and 41.31±17.19 pc/ms on the seventh day and returned to 16.01±8.58 pc/ms in 3 months. In patients undergoing extra-ocular muscle surgery flare increased from 13.05±6.50pc/ms to 23.04±11.53 pc/ms (p<0.001) on the first day, and returned to 18.02±14.09pc/ms on the seventh day. Eyelid surgery did not change flare values.
Conclusions
Orbital decompression disrupts blood-aqueous barrier. The integrity of blood-aqueous barrier returns to pre-operative status within three months. Extraocular muscle surgery mildly affects blood aqueous barrier integrity, and the effect subsides within seven days. Eyelid surgery does not affect blood-aqueous barrier.