17 results match your criteria: "Olympia Eye Hospital[Affiliation]"

It has been reported that Graves' disease (GD) sometimes improves spontaneously during pregnancy, although exacerbation of GD during postpartum period or relapse of hyperthyroidism caused by GD might occur. This study aimed to investigate the incidence of postpartum diagnosis of thyroid eye disease (TED) in relation to thyroid dysfunction. This retrospective cross-sectional study enrolled 11,104 deliveries from the patients with GD between January 2004 and August 2022.

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A 37-year-old, never-smoker, pregnant woman diagnosed with Graves' disease who had stable thyroid eye disease (TED) before pregnancy presented with aggravated proptosis and eyelid swelling at 13 weeks of pregnancy. Despite the administration of local triamcinolone and 3 cycles of corticosteroid pulse therapy from 25 to 28 weeks, the patient's visual acuity decline necessitated postpartum orbital decompression surgery. Although TSH receptor antibody (TRAb) levels decreased during the mid- to late term of pregnancy, the TED worsened.

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Introduction: Neuromyelitis optica spectrum disorder (NMOSD) is an autoimmune disorder that principally targets the central nervous system, specifically the spinal cord and optic nerves. NMOSD is often associated with thyroid pathologies such as Graves' disease or Hashimoto's thyroiditis. Thyroid eye disease (TED) is an autoimmune condition characterized by inflammation and hypertrophy of the extraocular muscles.

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Article Synopsis
  • The study assessed the effectiveness of subcutaneous injection of triamcinolone acetonide (SCTA) in treating eyelid issues (retraction and swelling) in patients with thyroid eye disease (TED), involving 102 patients over a 12-month period.
  • Results showed that SCTA significantly improved eyelid symptoms in 93% of cases, with the majority experiencing reductions in retraction, swelling, and lag; however, some patients required additional injections due to ongoing inflammation.
  • While a single SCTA injection worked for about 60% of patients, further monitoring was recommended, and no serious side effects like elevated intraocular pressure were reported, although some women experienced menstrual disorders.
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Prevalence, Incidence, and Clinical Characteristics of Thyroid Eye Disease in Japan.

J Endocr Soc

December 2023

Value and Access Department, INTAGE Healthcare Inc., Chiyoda-ku, Tokyo, 101-0062 Japan.

Background: Although thyroid eye disease (TED) can impact social and psychological well-being, the epidemiological evidence of TED is lacking in Japan.

Methods: Nationwide claims databases provided by JMDC Inc. and Medical Data Vision Co.

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Article Synopsis
  • The study focuses on the treatment of Graves' orbitopathy (GO) in newly diagnosed Graves' disease (GD) patients in Japan, specifically looking at the use of anti-inflammatory and immunosuppressive treatments (AIIST).
  • A total of 1,553 patients were analyzed, finding that only 6.9% received AIIST, which included glucocorticoids and retrobulbar irradiation.
  • Risk factors identified for GO patients undergoing AIIST included older age, elevated TSH binding inhibitory immunoglobulin (TBII), and the absence of thyroglobulin antibodies (TgAb), leading to the development of a predictive GO score to aid in treatment decisions.
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Dysthyroid optic neuropathy is a severe manifestation of Graves' ophthalmopathy that can result in permanent vision loss. We report a 37-year-old pregnant woman with Graves' ophthalmopathy which was deteriorated to dysthyroid optic neuropathy in the third trimester of pregnancy. Diplopia, bilateral eye lid retraction, lid edema and proptosis were observed in the 29th week of gestation.

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We prospectively evaluated the relationship between meibomian gland dysfunction (MGD) and Graves' ophthalmopathy (GO) in 19 patients (38 eyes) with subjective dry eye symptoms, compared to 14 age-matched normal participants (14 eyes). Extraocular muscle and lacrimal gland enlargement were evaluated by magnetic resonance imaging (MRI). Ocular surface examinations included fluorescein staining for keratoconjunctival epithelial damage, tear breakup time (TBUT) evaluation, and Schirmer's test.

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Aim: To evaluate the efficacy of transcutaneous triamcinolone acetonide (TA) injection for the treatment of upper eyelid retraction and swelling in thyroid eye disease (TED) patients.

Patients And Methods: This is a case series. Three euthyroid TED patients with features of both upper eyelid retraction and swelling were recruited.

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Background: Euthyroid Graves' disease (EGD) is a rare condition defined as the presence of thyroid-associated ophthalmopathy (TAO) in patients with normal thyroid function. Due to the rarity of this disease, only a limited number of studies and case reports are available for further evaluation of the characteristics of the disease. The aim of this study was to examine the changes in the thyroid function, thyrotropin receptor antibodies (TRAb) and eye symptoms, and then determine whether TRAb is related to TAO in EGD patients.

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Introduction: This clinical study aimed to investigate the effect of brinzolamide, a topical carbonic anhydrase inhibitor, on corneal endothelial cells (CECs) in patients with glaucoma using a follow-up clinical study design.

Methods: Patients with primary open-angle glaucoma or ocular hypertension were administrated an ophthalmic solution of either latanoprost alone (LT) as a control (n = 18) or latanoprost plus brinzolamide (LT + BR; n = 16). CECs were examined at baseline and at 4, 12, 24, and 48 weeks in 18 and 16 eyes of the LT and LT + BR groups, respectively, using a non-contact specular microscope.

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Radioiodine-Associated Exacerbation of Graves' Orbitopathy in the Japanese Population: Randomized Prospective Study.

J Clin Endocrinol Metab

July 2015

Ito Hospital (N.W., J.Y.N., K.I., K.S., Y.K., M.M., M.S., A.Y., H.O., S.K., Y.K., K.M., K.S., K.I.), Tokyo, Japan 150-8308; and Olympia Eye Hospital (A.K., T.I.), Tokyo, Japan 150-0001.

Context: Exacerbation of Graves' orbitopathy (GO) after radioiodine (RAI) therapy has been examined in some populations but has not been fully described in Japanese populations.

Objective: The purpose of this study was to clarify the characteristics of GO exacerbation after RAI therapy and the effectiveness of low-dose prophylactic corticosteroid (PCS).

Design And Setting: This was a prospective randomized study in Tokyo, Japan.

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Proptosis in dysthyroid ophthalmopathy: a case series of 10,931 Japanese cases.

Optom Vis Sci

March 2010

*MD Division of Ophthalmology, Olympia Eye Hospital, Tokyo, Japan (AK, RI, NK, TM, YI), and Showa University Fujigaoka Rehabilitation Hospital, Tokyo, Japan (TI, MA).

Purpose: This observational case series investigated the occurrence and distribution of proptosis in Japanese patients with dysthyroid ophthalmopathy (DO). The relationship among lid retraction, lid swelling, and enlargement of extraocular muscles was also analyzed.

Methods: From 1993 to 2002, 10 931 patients (2240 men and 8691 women, average age; 39.

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Article Synopsis
  • A study in 2005 examined ophthalmic surgeries in 178 patients (69 males, 109 females) with Graves' ophthalmopathy.
  • 121 eyelid surgeries, 138 extraocular muscle surgeries (86 simple, 19 complex), and 57 orbital decompressions were performed on affected eyes.
  • Patients who stabilized their orbitopathy before surgery experienced better outcomes and fewer complications.
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The major focus of this study is to evaluate the ophthalmic surgery performed to treat patients with various eye changes of dysthyroid ophthalmopathy (DO) in Japan. The medical charts of DO cases that underwent eye surgery at the Olympia Eye Hospital in 1999 were reviewed. In 1999, 898 patients underwent ophthalmologic examination at the thyroid eye clinic in our hospital, and 51 cases were excluded out of the first visiting cases because they were hyperthyroid only and not associated with ophthalmopathy.

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Purpose: To evaluate extraocular muscle enlargement (EME) in dysthyroid ophthalmopathy.

Methods: EME was assessed by orbital computed tomography (CT) in 573 patients with dysthyroid ophthalmopathy in order to investigate the frequency and exact location of EME and the clinical features of related ocular symptoms in patients with dysthyroid ophthalmopathy.

Results: Of the 573 patients examined, 187 patients (38%) showed evidence of EME on CT images.

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Purpose: To evaluate the extraocular muscle enlargement in dysthyroid opthalmopathy.

Method: Extraocular muscle enlargement was assessed by orbital computed tomography (CT) in 573 patients with dysthyroid ophthalmopathy in order to investigate the frequency and exact location of extraocular muscle enlargement and the clinical features of related ocular symptoms in patients with dysthyroid ophthalmopathy.

Results And Conclusion: 187 patients (38% of the total) showed evidence of extraocular muscle enlargement on CT images, and this disorder were more frequent in male patients than in female patients.

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