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Patterns of visual field changes in thyroid eye disease.

Catherine J Choi1,2, Susel Oropesa3, Alison B Callahan3

  • 1a Ophthalmic Plastic Surgery Service, Massachusetts Eye and Ear Infirmary , Boston , Massachusetts , USA.

Orbit (Amsterdam, Netherlands)
|April 29, 2017
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Summary
This summary is machine-generated.

Inferior visual field defects are the most common change in thyroid eye disease-compressive optic neuropathy (TED-CON). This study highlights the need for a specific classification system for TED-CON visual field patterns.

Keywords:
Thyroid eye diseasecompressive optic neuropathyvisual field

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Area of Science:

  • Ophthalmology
  • Neurology

Background:

  • Thyroid eye disease-compressive optic neuropathy (TED-CON) can cause significant visual impairment.
  • Understanding visual field changes is crucial for diagnosis and management.

Purpose of the Study:

  • To systematically describe visual field defects in patients with TED-CON.
  • To identify the most common patterns of visual field loss in TED-CON.

Main Methods:

  • Retrospective chart review of 68 patients with TED-CON.
  • Analysis of 96 Humphrey Visual Field 24-2 or 30-2 tests.
  • Classification of visual fields into broad categories and Ocular Hypertension Treatment Study (OHTS) patterns.

Main Results:

  • 55% of visual fields showed an inferior defect.
  • The most common OHTS patterns were 'other' (28%) and partial arcuate (28%).
  • Inferior defects predominated across most categories, constituting 67% of the most common patterns.

Conclusions:

  • Inferior visual field defect is the most typical visual field change associated with TED-CON.
  • Existing classification systems (like OHTS) may not fully capture TED-CON visual field patterns.
  • A tailored classification system for TED-CON visual field defects is warranted.