The value of multidetector computed tomography of orbits in globe protrusion in comparison to hertel exophthalmometry.
THE VALUE OF MULTIDETECTOR COMPUTED TOMOGRAPHY OF ORBITS IN GLOBE PROTRUSION
IN COMPARISON TO HERTEL EXOPHTHALMOMETRY.
Acta Clin Croat. 2017 03;56(1):21-7
Authors: Đorić I, Žarković M, Radojičić Z, Repac N, Janićijević A, Rotim K, Tasić G, Rasulić L
Abstract
The use of multidetector computed tomography (MDCT) is an integral part of
contemporary diagnostics of Graves‘ orbitopathy. The aim of this study was to assess proptosis measurement
by MDCT and to compare it to the current standard, Hertel exophthalmometry. A cross-sectional
study was conducted at the Clinical Centre of Serbia and included 91 patients (19 male and
72 female) with verified Graves‘ orbitopathy. Globe protrusion measured by MDCT (globe protrusion,
GPR) was correlated to Hertel measured protrusion (HR). There was no constant or any systematic
bias between the two methods. GPR significantly correlated with the best-corrected visual acuity,
while HR did not. Age, body mass index and duration of the disease did not influence proptosis
measurement by either method. Proptosis was significantly larger in males. According to our results,
GPR compared to HR provides better assessment of the protrusion in Graves‘ disease. GPR measurement
is simple and should always be part of the radiological assessment of orbits in Graves‘ disease.
PMID: 29120123 [PubMed - in process]
Source: Acta Clinica Croatica - Category: General Medicine Tags: Acta Clin Croat Source Type: research