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مقاله
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Abstract
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Title:
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Lower Lid Retraction in Thyroid Orbitopathy: Lamellar Shortening or Proptosis?
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Author(s):
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Mohammad Taher Rajabi, MD; Hajar Jafari, MD; Mehdi Mazloumi, MD, MPH; Syed Ziaeddin Tabatabaie, MD; Mohammad Bagher Rajabi, MD; Narges Hassanlou MD; Hamid Riazi Esfahani MD; Robert A. Goldber
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Presentation Type:
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Oral
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Subject:
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Ophthalmic Plastic and Reconstructive Surgery
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Others:
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Presenting Author:
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Name:
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Mehdi Mazloumi
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Affiliation :(optional)
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Eye Research Center (ERC), Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
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E mail:
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mazloumi.mehdi@gmail.com
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Phone:
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09122130727
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Mobile:
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09122130727
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Purpose:
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To investigate any correlation between the lower lid retraction and proptosis and also between lower lid retraction and lamellar length, as measured with fornix depth, in patients with Thyroid Eye Disease (TED).
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Methods:
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One hundred and sixty six eyes of 83 patients with TED were enrolled. The inferior fornix depth, Hertel exophthalmometry measurement, clinical activity score, and lower lid position were the main outcome variables. The correlation between lower lid position measurement and Hertel measurements and also between the lower lid position measurement and inferior fornix depth were evaluated using ANOVA and Pearson’s tests.
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Results:
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The mean age of subjects in patients with and without lid retraction were 42.8±1.5 and 47.7±1.6 years, respectively (P=0.4). The inferior fornix depth in patients with and without lower lid retraction were 11.8±1.5 mm and 11.8±1.3 mm, respectively (P=0.960). Pearson’s analysis showed a significant correlation between the degree of proptosis and lower lid retraction in TED patients (P=0.01). However, no significant correlation was found between the level of lower lid retraction and the fornix depth (P=0.87).
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Conclusion:
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The main cause of lower lid retraction in TED is the proptosis. The beneficial effect of orbital decompression on improvement of lower lid retraction has to be considered during a stepwise surgical approach in TED patients.
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Attachment:
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