A Novel Three-Dimensional Vector Analysis of Axial Globe Position in Thyroid Eye Disease

Purpose. To define a three-dimensional (3D) vector method to describe the axial globe position in thyroid eye disease (TED). Methods. CT data from 59 patients with TED were collected and 3D images were reconstructed. A reference coordinate system was established, and the coordinates of the corneal a...

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Main Authors: Jie Guo, Jiang Qian, Yifei Yuan, Rui Zhang, Wenhu Huang
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/7253898
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author Jie Guo
Jiang Qian
Yifei Yuan
Rui Zhang
Wenhu Huang
author_facet Jie Guo
Jiang Qian
Yifei Yuan
Rui Zhang
Wenhu Huang
author_sort Jie Guo
collection DOAJ
description Purpose. To define a three-dimensional (3D) vector method to describe the axial globe position in thyroid eye disease (TED). Methods. CT data from 59 patients with TED were collected and 3D images were reconstructed. A reference coordinate system was established, and the coordinates of the corneal apex and the eyeball center were calculated to obtain the globe vector EC→. The measurement reliability was evaluated. The parameters of EC→ were analyzed and compared with the results of two-dimensional (2D) CT measurement, Hertel exophthalmometry, and strabismus tests. Results. The reliability of EC→ measurement was excellent. The difference between EC→ and 2D CT measurement was significant (p=0.003), and EC→ was more consistent with Hertel exophthalmometry than with 2D CT measurement (p<0.001). There was no significant difference between EC→ and Hirschberg test, and a strong correlation was found between EC→ and synoptophore test. When one eye had a larger deviation angle than its fellow, its corneal apex shifted in the corresponding direction, but the shift of the eyeball center was not significant. The parameters of EC→ were almost perfectly consistent with the geometrical equation. Conclusions. The establishment of a 3D globe vector is feasible and reliable, and it could provide more information in the axial globe position.
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institution Kabale University
issn 2090-004X
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publishDate 2017-01-01
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series Journal of Ophthalmology
spelling doaj-art-735184a334f74c3a9fb71c841b1987412025-02-03T06:44:39ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/72538987253898A Novel Three-Dimensional Vector Analysis of Axial Globe Position in Thyroid Eye DiseaseJie Guo0Jiang Qian1Yifei Yuan2Rui Zhang3Wenhu Huang4Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, ChinaDepartment of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, ChinaDepartment of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, ChinaDepartment of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, ChinaDepartment of Radiology, Eye & ENT Hospital, Fudan University, Shanghai, ChinaPurpose. To define a three-dimensional (3D) vector method to describe the axial globe position in thyroid eye disease (TED). Methods. CT data from 59 patients with TED were collected and 3D images were reconstructed. A reference coordinate system was established, and the coordinates of the corneal apex and the eyeball center were calculated to obtain the globe vector EC→. The measurement reliability was evaluated. The parameters of EC→ were analyzed and compared with the results of two-dimensional (2D) CT measurement, Hertel exophthalmometry, and strabismus tests. Results. The reliability of EC→ measurement was excellent. The difference between EC→ and 2D CT measurement was significant (p=0.003), and EC→ was more consistent with Hertel exophthalmometry than with 2D CT measurement (p<0.001). There was no significant difference between EC→ and Hirschberg test, and a strong correlation was found between EC→ and synoptophore test. When one eye had a larger deviation angle than its fellow, its corneal apex shifted in the corresponding direction, but the shift of the eyeball center was not significant. The parameters of EC→ were almost perfectly consistent with the geometrical equation. Conclusions. The establishment of a 3D globe vector is feasible and reliable, and it could provide more information in the axial globe position.http://dx.doi.org/10.1155/2017/7253898
spellingShingle Jie Guo
Jiang Qian
Yifei Yuan
Rui Zhang
Wenhu Huang
A Novel Three-Dimensional Vector Analysis of Axial Globe Position in Thyroid Eye Disease
Journal of Ophthalmology
title A Novel Three-Dimensional Vector Analysis of Axial Globe Position in Thyroid Eye Disease
title_full A Novel Three-Dimensional Vector Analysis of Axial Globe Position in Thyroid Eye Disease
title_fullStr A Novel Three-Dimensional Vector Analysis of Axial Globe Position in Thyroid Eye Disease
title_full_unstemmed A Novel Three-Dimensional Vector Analysis of Axial Globe Position in Thyroid Eye Disease
title_short A Novel Three-Dimensional Vector Analysis of Axial Globe Position in Thyroid Eye Disease
title_sort novel three dimensional vector analysis of axial globe position in thyroid eye disease
url http://dx.doi.org/10.1155/2017/7253898
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