Type of Article: Original Research

Volume 5; Issue 8: 2018

Page No.: 725-728

DOI: 10.16965/ijims.2018.133

STUDY OF THYROID ASSOCIATED OPHTHALMOPATHY AND GLAUCOMA

Rishendra singh Sisodiya 1 , Rajendra kumar samar *2.

1 Assistant professor, Department of Ophthalmology, Pacific Institute of Medical sciences, Udaipur, Rajasthan, India.

*2 Assistant professor, Department of General Medicine, Pacific Institute of Medical sciences, Udaipur, Rajasthan, India.

Correspondence author: Dr Rajendra kumar samar, 12, Shiv park, Durga Nursery road, Udaipur, Rajasthan-313001, India. E-Mail: rajendrasamar11111@gmail.com

Abstract:

Background: Glaucoma is an important cause of blindness world-wide, as a rise in intraocular pressure is associated with optic disc damage. However, the impact of this hypothyroidism on IOP in the setting of orbitopathy has not been clearly established.

Objective: To study the prevalence of glaucoma in patients with thyroid associated ophthalmopathy (TAO).

Methods: This cross sectional study includes total 86 patients with thyroid associated ophthalmopathy (TAO) who visited ophthalmology and medicine OPD of our Institute. All patients underwent complete ophthalmic examination including BCVA, Slit lamp examination, Fundus examination by +78 D lens, intraocular pressure measurement by Goldman Applanation Tonometer (GAT), visual fields (SITA standard 30-2, Humphrey, USA and pachymetry (Sonomed, USA). Exophthalmomery was done using Luedde’s Exophthalmometer.

Results: A total of 86 consecutive patients of TAO were included in the study. There were 45 males and 41 females in our study. The mean age of the patients was 39.5 years (Range: 23-57.5 years). All patients had some degree of proptosis along with congestive features of active TAO. In our study 52  out of 172 eyes had IOP > 21 mm Hg. 21 eyes had optic nerve changes and visual field changes to be labeled as glaucomatous. 31 eyes had only high IOP without corresponding optic nerve or visual field changes.

Conclusions: Patients with thyroid associated ophthalmology (TAO) have high prevalence of primary open angle glaucoma , secondary glaucoma and  ocular hypertension.

Key words: Glaucoma, Grave’s disease, Thyroid associated ophthalmopathy.

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