Lower incidence of chemosis with the Berke incision approach versus the swinging eyelid approach after deep lateral orbital wall decompression

Takahashi, Yasuhiro; Kang, Hyera; Kakizaki, Hirohiko

doi:10.3109/2000656x.2015.1064821

Cited by 11 publications

(10 citation statements)

References 15 publications

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“…Prednisone was subsequently taken orally at a dose of 30 mg/day and gradually reduced to decrease the active immune attack stimulated by surgical stress and postoperative chemosis. 12,13 The clinical features of the patients, including best corrected visual acuity (BCVA) and CAS before surgery, were analyzed.…”

Section: Treatmentmentioning

confidence: 99%

Elevated Immunoglobulin G4 Levels in Patients with Thyroid Eye Disease and Their Clinical Implications

Xiao

Chen

et al. 2020

Invest. Ophthalmol. Vis. Sci.

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The purpose of this study was to assess the relationship between thyroid eye disease (TED) in patients undergoing orbital decompression and immunoglobulin G4 (IgG4) levels. METHODS. A prospective observational cohort study was conducted among 185 consecutive patients who were diagnosed with TED and underwent orbital decompression. Serum levels of IgG4 were measured, and immunohistochemical staining for IgG and IgG4 was performed in orbital adipose tissue. Data related to clinicopathologic features were analyzed. RESULTS. Among the 185 enrolled patients with TED, 64 (34.6%) were IgG4-positive. The IgG4-positive patients were older, had higher clinical activity scores (CAS), and had worse best-corrected visual acuity (BCVA) than the IgG4-negative patients. Higher thyrotropin receptor antibody (TRAb) levels, histopathological IgG4 counts, IgG4/IgG ratios, and dense lymphocyte infiltration were more frequently observed in IgG4-positive than in IgG4-negative patients. Definitive and probable IgG4 subtypes were independently associated with the active stage in patients with TED. CONCLUSIONS. Our data suggest that the IgG4 subtype in TED is common. IgG4-positive patients with TED may be older, have more severe disease, and have higher clinical activity scores. IgG4 may play an important role in the pathogenesis of TED.

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Section: Treatmentmentioning

confidence: 99%

Elevated Immunoglobulin G4 Levels in Patients with Thyroid Eye Disease and Their Clinical Implications

Xiao

Chen

et al. 2020

Invest. Ophthalmol. Vis. Sci.

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“…Before referral to us, the patient had received topical eye drops for 3 months, such as 0.1% betamethasone, 0.1% sodium hyaluronate, and 1.5% levofloxacin, but showed no improvement. The patient had no past history of seventh cranial nerve palsy, thyroid disease, nephritis, congestive heart failure, or hypoproteinemia [2]. …”

Section: Case Presentationmentioning

confidence: 99%

“…Drying was observed macroscopically on the surface of the lacrimal caruncle. Ophthalmoscopic examination did not reveal noticeable findings, including allergic conjunctivitis, corneal ulcer, dry eye, uveitis, panophthalmitis, and angle closure glaucoma [2]. Palpebral fissure height and Hertel exophthalmometry measurements were within normal limits.…”

Section: Case Presentationmentioning

confidence: 99%

“…The patient did not show lid lag. Computed tomography of the orbit demonstrated no manifest involvement related to Graves orbitopathy, an orbital tumor, and orbital cellulitis [2]. The diameter of the superior ophthalmic vein was within normal limits [4].…”

Section: Case Presentationmentioning

confidence: 99%

“…Conjunctival desiccation by ocular surface exposure is one of the major causes of conjunctival chemosis [1, 2], although a variety of ocular and systemic diseases can induce conjunctival chemosis [3]. However, there has been no report of a conjunctival chemosis caused by exposure of the lacrimal caruncle only.…”

Section: Introductionmentioning

confidence: 99%

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Conjunctival Chemosis Caused by Exposure of the Lacrimal Caruncle: A Case Report

Baba

Matsuda

Shiba³

et al. 2017

Case Rep Ophthalmol

Self Cite

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An 84-year-old woman presented with a 3-month history of conjunctival chemosis in the left eye. At the first examination, the chemosis neighbored the lacrimal caruncle and was localized in the inferomedial region of the conjunctiva. During eyelid closure, only the left lacrimal caruncle was exposed. One month later, the chemosis further extended to the inferolateral region. We debulked the lacrimal caruncle to prevent the exposure of the caruncle. One month after the surgery, conjunctival chemosis had resolved completely. At the postoperative 6-month follow-up, the patient showed no recurrence of chemosis.

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Deep lateral orbital decompression for Graves orbitopathy: a systematic review

et al. 2021

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Lower incidence of chemosis with the Berke incision approach versus the swinging eyelid approach after deep lateral orbital wall decompression

Cited by 11 publications

References 15 publications

Elevated Immunoglobulin G4 Levels in Patients with Thyroid Eye Disease and Their Clinical Implications

Elevated Immunoglobulin G4 Levels in Patients with Thyroid Eye Disease and Their Clinical Implications

Conjunctival Chemosis Caused by Exposure of the Lacrimal Caruncle: A Case Report

Deep lateral orbital decompression for Graves orbitopathy: a systematic review

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