Change in upper eyelid position after teprotumumab treatment for thyroid eye disease

作者：Tatiana R. Rosenblatt, Carolina A. Chiou, Michael K. Yoon, Nahyoung Grace Lee, Natalie Wolkow, Suzanne K. Freitag · 发表于：Orbit · 年份：2024 · DOI：10.1080/01676830.2024.2323543 · 被引用次数：6 · 研究领域：Ophthalmology and Eye Disorders、Ophthalmology and Visual Impairment Studies、Ocular Diseases and Behçet’s Syndrome

Purpose Despite the high prevalence, treatment challenges, and significant impact of eyelid retraction on vision and quality of life among patients with thyroid eye disease, the effects of teprotumumab on eyelid retraction are not fully understood. This study evaluated change in upper eyelid position after teprotumumab.Methods A retrospective study of all patients who completed eight teprotumumab infusions at one institution from January 1 2020 to December 31 2022. Primary outcome was change in upper eyelid position immediately after treatment and at most recent follow-up compared to pre-treatment.Results Among 234 eyes of 118 patients, average margin reflex distance-1 (MRD1) pre-treatment was 5.25 mm (range 0–10.0, SD 1.75), 4.66 mm (1.0–9.0, SD 1.32) immediately post-treatment (p < 0.001), and 4.50 mm (0–10.0, SD 1.52) at most recent follow-up (mean follow-up duration 10.60 months). In total, 136 (58.12%) eyes of 88 patients had MRD1 reduction immediately post-treatment, averaging 1.49 mm (0.5–5.0 mm, SD 0.97). Every 1-mm increase in pre-treatment MRD1 increased the odds of MRD1 reduction by 15.03% (CI 10.52–19.72, p < 0.001) and increased the reduction amount by 0.48 mm (CI 0.39–0.57, p < 0.001). Of 154 eyes of 78 patients with most recent follow-up, 107 (69.48%) eyes had stable or further improved retraction at most recent follow-up compared to immediately post-treatment.Conclusions This study found a modest but significant reduction in MRD1 in approximately 60% of eyes, ...