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       XXVI Annual Congress of the Iranian Society of Ophthalmology        بـیــست و ششمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Effect of smoking on retrobulbar blood flow in thyroid eye disease
Author(s): A Sadeghi-Tari1, M Jamshidian-Tehrani1, A Nabavi1, S Sharif-Kashani2, E Elami1, N Hassanpour1 and KA Zamani1
Presentation Type: Oral
Subject: Ophthalmic Plastic and Reconstructive Surgery
Others:
Presenting Author:
Name: Mansoreh Jamshidian Tehrani
Affiliation :(optional) TUMS
E mail: mansooreh_2468@yahoo.com
Phone: 07116304318
Mobile: 09171193010
Purpose:

To evaluate the effect of smoking on retrobulbar blood flow parameters by color Doppler imaging in patients with thyroid eye disease.

Methods:

parameters in the ophthalmic artery, superior ophthalmic vein, central retinal artery, and vein were determined by color Doppler imaging in patients with thyroid eye disease. Patients were grouped as smokers and non-smokers. Never smokers and those who had stopped smoking for at least 1 year before onset of ophthalmopathy were considered as nonsmokers. A thorough ophthalmic examination including Hertel exophthalmometry was performed. Orbital CT scan was also carried out in all patients.

Results:

Fifty-one orbits from 30 patients between 21 and 62 years old (mean±SD: 40.8±12.0) were enrolled in this study. Smokers had greater proptosis and more active and sever disease. (Po0.05) Muscle involvement based on CT scan did not vary in smokers and non-smokers. Maximum velocity (3.78±1.74 vs 5.27±2.14, Po0.001; ttest) and minimum velocity (1.74±0.78 vs 3.26±1.36, P =0.014; t-test) in superior ophthalmic vein were significantly lower in smokers than non-smokers. Even after adjusting for age, sex, and clinical activity score and severity, smokers had a lower minimum velocity in superior ophthalmic vein. (P =0.01; ANCOVA analysis).

Conclusion:

Cigarette smoking may correlate with increase in orbital venous congestion in thyroid eye disease.

Attachment:





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