Changes in the Ocular Parameters of Patients with Graves' Disease after Antithyroid Drug Treatmentopen access
- Authors
- Lee, Je-Sang; Yeom, Dong-Ju; Nah, Seung-Kwan; Kim, Bo-Yeon; Jang, Sun-Young
- Issue Date
- May-2021
- Publisher
- MDPI
- Keywords
- ocular parameters; change; antithyroid drug
- Citation
- Medicina (Kaunas, Lithuania), v.57, no.5
- Journal Title
- Medicina (Kaunas, Lithuania)
- Volume
- 57
- Number
- 5
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/18872
- DOI
- 10.3390/medicina57050414
- ISSN
- 1010-660X
1648-9144
- Abstract
- Background and Objectives: To find the differences in ocular axial length, keratometric measurements, and intraocular lens (IOL) power in patients with Graves' disease (GD) after treatment with a thionamide antithyroid drug (ATD), methimazole. Materials and Methods: The medical charts of 28 patients (4 males and 24 females; mean age: 47.2 +/- 21.2 years) were studied. Each patient was examined twice using an IOL Master Device and keratometry at the first visit (before ATD treatment) and after 1 month of ATD treatment. The IOL power was calculated for each patient using the Hoffer Q, SRK-2, and SRK/T formulas according to axial length. Results: After 1 month, the axial length increased (right and left eyes: p < 0.001 and p = 0.05, respectively). Based on keratometry, changes in the horizontal and vertical optical power [in diopters (D)] were not statistically significant. However, the IOL power changed after 1 month of ATD treatment in 64.3% of the patients. In 14 patients (50%), there was a 0.5-1.0 D IOL power decrease in single eyes; in two patients (7.1%), an IOL power decrease of 0.5-1.0 D in both eyes; and in two patients (7.1%), a 0.5 D IOL power increase in single eyes. The calculated IOL power values were lower after ATD treatment (right and left eyes, p = 0.010 and p = 0.018, respectively). Conclusions: The IOL power changed in 64.3% of GD patients after ATD treatment. Therefore, avoiding cataract surgery at the early stage of ATD treatment would be appropriate for selecting a more accurate IOL power.
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Collections - College of Medicine > Department of Ophthalmology > 1. Journal Articles
- College of Medicine > Department of Internal Medicine > 1. Journal Articles
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