Evaluation of Ocular Versions in Graves’ Orbitopathy: Correlation between the Qualitative Clinical Method and the Quantitative Photographic Method
Purpose. To assess the agreement between the qualitative clinical method and the quantitative photographic method of evaluating normal and abnormal ocular versions in patients with inactive Graves’ orbitopathy (GO). Methods. Forty-two patients with inactive GO had their ocular versions evaluated cli...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2020/9758153 |
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| author | Cristiane de Almeida Leite Thaís de Sousa Pereira Jeane Chiang Allan C. Pieroni Gonçalves Mário L. R. Monteiro |
| author_facet | Cristiane de Almeida Leite Thaís de Sousa Pereira Jeane Chiang Allan C. Pieroni Gonçalves Mário L. R. Monteiro |
| author_sort | Cristiane de Almeida Leite |
| collection | DOAJ |
| description | Purpose. To assess the agreement between the qualitative clinical method and the quantitative photographic method of evaluating normal and abnormal ocular versions in patients with inactive Graves’ orbitopathy (GO). Methods. Forty-two patients with inactive GO had their ocular versions evaluated clinically according to three categories: normal, moderate alterations (−1 or −2 hypofunction), and severe alterations (−3 or −4 hypofunction). The subjects were photographed in the 9 positions of gaze, and the extent (mm) of eye movement in each position was estimated using Photoshop® and ImageJ and converted into degrees with a well-established method. The agreement between the two methods (qualitative vs. quantitative) for classifying ocular versions as normal or abnormal was assessed. Results. The mean quantitative measurements of versions were significantly different for each clinical category (normal, moderate alterations, and severe alterations) in the following five positions: abduction, adduction, elevation in abduction, elevation, and elevation in adduction (p<0.001). No such pattern was observed for the three infraversion positions (depression in abduction, p=0.573; depression, p=0.468; depression in adduction, p=0.268). Conclusion. The agreement was strong between the quantitative photographic method and the qualitative clinical method of classifying ocular versions, especially in lateral and supraversions, which are typically affected in GO. Digital photography is recommended for the assessment of ocular versions due to its practicality, suitability for telemedicine applications, and ease of monitoring during follow-up. This trial is registered with NCT03278964. |
| format | Article |
| id | doaj-art-41bc1f021a124f17bc655544c4706fc4 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-41bc1f021a124f17bc655544c4706fc42025-02-03T05:44:11ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/97581539758153Evaluation of Ocular Versions in Graves’ Orbitopathy: Correlation between the Qualitative Clinical Method and the Quantitative Photographic MethodCristiane de Almeida Leite0Thaís de Sousa Pereira1Jeane Chiang2Allan C. Pieroni Gonçalves3Mário L. R. Monteiro4Laboratory of Investigation in Ophthalmology (LIM 33), Division of Ophthalmology, University of São Paulo Medical School, São Paulo, BrazilLaboratory of Investigation in Ophthalmology (LIM 33), Division of Ophthalmology, University of São Paulo Medical School, São Paulo, BrazilLaboratory of Investigation in Ophthalmology (LIM 33), Division of Ophthalmology, University of São Paulo Medical School, São Paulo, BrazilLaboratory of Investigation in Ophthalmology (LIM 33), Division of Ophthalmology, University of São Paulo Medical School, São Paulo, BrazilLaboratory of Investigation in Ophthalmology (LIM 33), Division of Ophthalmology, University of São Paulo Medical School, São Paulo, BrazilPurpose. To assess the agreement between the qualitative clinical method and the quantitative photographic method of evaluating normal and abnormal ocular versions in patients with inactive Graves’ orbitopathy (GO). Methods. Forty-two patients with inactive GO had their ocular versions evaluated clinically according to three categories: normal, moderate alterations (−1 or −2 hypofunction), and severe alterations (−3 or −4 hypofunction). The subjects were photographed in the 9 positions of gaze, and the extent (mm) of eye movement in each position was estimated using Photoshop® and ImageJ and converted into degrees with a well-established method. The agreement between the two methods (qualitative vs. quantitative) for classifying ocular versions as normal or abnormal was assessed. Results. The mean quantitative measurements of versions were significantly different for each clinical category (normal, moderate alterations, and severe alterations) in the following five positions: abduction, adduction, elevation in abduction, elevation, and elevation in adduction (p<0.001). No such pattern was observed for the three infraversion positions (depression in abduction, p=0.573; depression, p=0.468; depression in adduction, p=0.268). Conclusion. The agreement was strong between the quantitative photographic method and the qualitative clinical method of classifying ocular versions, especially in lateral and supraversions, which are typically affected in GO. Digital photography is recommended for the assessment of ocular versions due to its practicality, suitability for telemedicine applications, and ease of monitoring during follow-up. This trial is registered with NCT03278964.http://dx.doi.org/10.1155/2020/9758153 |
| spellingShingle | Cristiane de Almeida Leite Thaís de Sousa Pereira Jeane Chiang Allan C. Pieroni Gonçalves Mário L. R. Monteiro Evaluation of Ocular Versions in Graves’ Orbitopathy: Correlation between the Qualitative Clinical Method and the Quantitative Photographic Method Journal of Ophthalmology |
| title | Evaluation of Ocular Versions in Graves’ Orbitopathy: Correlation between the Qualitative Clinical Method and the Quantitative Photographic Method |
| title_full | Evaluation of Ocular Versions in Graves’ Orbitopathy: Correlation between the Qualitative Clinical Method and the Quantitative Photographic Method |
| title_fullStr | Evaluation of Ocular Versions in Graves’ Orbitopathy: Correlation between the Qualitative Clinical Method and the Quantitative Photographic Method |
| title_full_unstemmed | Evaluation of Ocular Versions in Graves’ Orbitopathy: Correlation between the Qualitative Clinical Method and the Quantitative Photographic Method |
| title_short | Evaluation of Ocular Versions in Graves’ Orbitopathy: Correlation between the Qualitative Clinical Method and the Quantitative Photographic Method |
| title_sort | evaluation of ocular versions in graves orbitopathy correlation between the qualitative clinical method and the quantitative photographic method |
| url | http://dx.doi.org/10.1155/2020/9758153 |
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