Development of Thyroid-Related Orbitopathy Following Cataract Surgery

Yi, Boey Pui; Leng, Seah Lay; Kwang, Loh Boon; Rootman, Jack

doi:10.3109/01676830903071232

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…Although TED is thought to classically manifest with an active inflammatory phase, followed by a plateau and an inactive phase, there have been several reports in the literature that might suggest TED flares associated with cataract surgery. [21][22][23] While the majority of patients in these reports received retrobulbar anesthesia, the bilateral nature of the presentations appears to be more consistent with a TED flare than an anesthetic-induced myotoxicity. It is possible that increased inflammation secondary to intraocular surgery and/or retrobulbar anesthesia triggered a new flare of TED.…”

Section: Discussionmentioning

confidence: 86%

Risk of Refractive Prediction Error After Cataract Surgery in Patients with Thyroid Eye Disease

Caldwell¹,

Patnaik²,

Ackerman³

et al. 2021

OPTH

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Section: Discussionmentioning

confidence: 86%

Risk of Refractive Prediction Error After Cataract Surgery in Patients with Thyroid Eye Disease

Caldwell¹,

Patnaik²,

Ackerman³

et al. 2021

OPTH

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“…A summary of the current literature regarding TED activity after cataract surgery can be seen in Table 1. Yi, et al presented fi ve cases of patients who developed TED after cataract surgery [17]. Two were male and three were female with a mean age of 54.6 years.…”

Section: Discussionmentioning

confidence: 99%

“…Previous literature has reported the aggravation of TED by periocular injections (botulinum toxin), medications (corticosteroid and rosiglitazone), ocular surgery (cataract surgery, strabismus surgery, and orbital decompression), and retrobulbar anesthesia injections [12][13][14][15][16][17][18][19][20][21][22]. TED activation has also been described in patients without a known history of TED, following cataract surgery, laser in-situ keratomilieusis, facelift in combination with blepharoplasty, laser resurfacing, forehead lift, fi ller injections, and botulinum toxin injections [17,21,23]. We present a series of patients who did not have a known history of TED who presented post-operatively after cataract surgery with severe and aggressive TED that required numerous visits for management and preservation of sight.…”

Section: Introductionmentioning

confidence: 99%

Acute vision threatening thyroid orbitopathy associated with cataract surgery: A case series and review of the literature

Christopher R,

Seanna R,

Kenneth A

2024

J Clin Res Ophthalmol

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Thyroid eye disease can be associated via cataract surgery with devastating visual consequences. A systematic review of the clinical records of patients with aggravation of their thyroid orbitopathy after eye surgery at a tertiary facility was performed. Patients who had worsening of their thyroid orbitopathy within the post-operative period of cataract surgery were included. Clinical findings were reviewed including clinical examination and imaging. A literature review was also performed. Two patients who underwent cataract surgery and presented with newly diagnosed and severe thyroid orbitopathy post-operatively were identified. Both patients were male, averaging 71 years of age. Both patients noticed symptoms of diplopia within one week after cataract surgery and had clinical and imaging findings consistent with severe thyroid orbitopathy. Both patients required urgent bilateral orbital decompression due to compressive optic neuropathy. Visual acuity was preserved in both patients. The average follow-up was 6 years. Males who have activation of TED after cataract surgery appear to have a higher risk of developing compressive optic neuropathy and require immediate intervention, which is consistent with male gender as a risk factor for severe disease. Patients with thyroid disease should be counselled pre-operatively about the risk of disease aggravation after cataract surgery.

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Practice patterns among ophthalmic surgeons in treating concomitant oculoplastic conditions in preoperative period: A questionnaire-based study

Panda,

Mishra,

Nayak

et al. 2025

World J Clin Cases

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BACKGROUND Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure. Some oculoplastic conditions, like nasolacrimal duct obstruction, have been extensively studied, whereas others, like eyelid malposition and thyroid eye disease, have received minimal or no research. AIM To investigate the current practice patterns among ophthalmologists while treating concomitant oculoplastic conditions before any subspecialty ophthalmic intervention. METHODS A cross-sectional survey was disseminated among ophthalmologists all over India. The survey included questions related to pre-operative evaluation, anaesthetic and surgical techniques preferred, post-operative care, the use of adjunctive therapies, and patient follow-up patterns. RESULTS A total of 180 ophthalmologists responded to the survey. Most practitioners (89%) felt that the ROPLAS test was sufficient during pre-operative evaluation before any subspecialty surgery was advised. The most common surgical techniques employed were lacrimal drainage procedures (Dacryocystorhinostomy) (63.3%), eyelid malposition repair (36.9%), and ptosis repair (58.7%). Post-operatively, 47.7 % of respondents emphasized that at least a 4-week gap should be maintained after lacrimal drainage procedures and eyelid surgeries. Sixty-seven percent of ophthalmologists felt that topical anaesthetic procedures should be preferred while performing ocular surgeries in thyroid eye disease patients. CONCLUSION Approximately 50% of ophthalmologists handle prevalent oculoplastic issues themselves, seeking the expertise of an oculoplastic surgeon under particular conditions. Many ophthalmologists still favor using ROPLAS as a preliminary screening method before proceeding with cataract surgery. Eyelid conditions and thyroid eye disease are not as commonly addressed before subspecialty procedures compared to issues like nasolacrimal duct obstruction and periocular infections.

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Development of Thyroid-Related Orbitopathy Following Cataract Surgery

Abstract: TRO can present shortly after cataract surgery and lead to serious vision threatening complications. Patients will need to be counseled pre-operatively regarding the risk of post-operative period.

Cited by 4 publications

References 20 publications

Risk of Refractive Prediction Error After Cataract Surgery in Patients with Thyroid Eye Disease

Risk of Refractive Prediction Error After Cataract Surgery in Patients with Thyroid Eye Disease

Acute vision threatening thyroid orbitopathy associated with cataract surgery: A case series and review of the literature

Practice patterns among ophthalmic surgeons in treating concomitant oculoplastic conditions in preoperative period: A questionnaire-based study

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