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Mario L. Monteiro, Hélio Angotti-Neto, Rodrigo Moritz, Joseph E. Benabou; Color Doppler Imaging Of The Superior Ophthalmic Vein In Patients With Graves’ Orbitopathy Before And After Treatment Of Congestive Disease. Invest. Ophthalmol. Vis. Sci. 2011;52(14):5110.
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To compare color Doppler imaging (CDI) parameters of the superior ophthalmic vein (SOV) in patients with Congestive Graves’ orbitopathy (GO) before and after treatment (orbital decompression and/or corticosteroids) of the orbitopathy.
Twenty two orbits of 12 patients with congestive phase of Graves' Orbitopathy were evaluated using CDI of the superior ophthalmic vein before and 6 months or later after treatment of the congestive orbitopathy. Twelve orbits were from patients with dysthyroid optic neuropathy. Treatment consisted of orbital decompression in 16 orbits and corticosteroids in 6 orbits. The findings before and after treatment were compared.
In the congestive disease SOV flow was detected and anteroposterior in 14, detected and reverse in 4 and undetectable in 5. After treatment SOV flow was detected and anteroposterior in 19 and undetected in 1 orbit (p<0.05). Comparison of SOV flow parameters revealed a significant difference between the groups regarding maximum SOV flow velocity. SOV flow was significantly reduced in the congestive phase compared to SOV flow parameters after treatment.
SOV is significantly reduced in orbits with congestive GO when compared to normals. SOV reduction is significantly improved after treatment of the acute orbitopathy. SOV congestion may be a contributing pathogenic factor in the both congestive phase of Grave's bitopathy.
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