Lutfi, Delfitri
Division Of Orbital Ophthalmic Oncology, Department Of Ophthalmology, Faculty Of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya

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Significant Role of Thyroid Stimulating Hormone in the Clinical Activity Score of Thyroid Eye Disease at a Tertiary Hospital in Surabaya, Indonesia Amatlulloh, Hasna Shahida; Lutfi, Delfitri; Soelistijo, Soebagijo Adi; Prastyani, Reni; Alhakiim, Muhammad Valeri
Folia Medica Indonesiana Vol. 60, No. 1
Publisher : Folia Medica Indonesiana

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Highlights: 1. This study, conducted at a tertiary hospital, was the first to analyze the correlation between thyroid status and clinical activity score in thyroid eye disease. 2. This study offers valuable information regarding the crucial role of thyroid stimulating hormone (TSH) in determining the clinical activity score of thyroid eye disease. Abstract Thyroid eye disease is an autoimmune disorder characterized by inflammation of the orbital and periorbital tissues. This condition can lead to vision impairment, which is a notable manifestation of thyroid disease. The symptoms of thyroid disease reflected the level of inflammatory activity, whereas the clinical activity score was indicative of active and inactive phases. This retrospective analysis explored the intricate association between thyroid status and clinical activity score in thyroid eye disease patients, with the hope of providing a foundation for further research on the association between thyroid status and the occurrence of TED. This study utilized medical records from the years 2019 to 2022 from the Outpatient Department of Ophthalmic Oncology of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. The variables examined in this study were thyroid status and the clinical activity score of thyroid eye disease. The statistical analysis was performed using Phi and Cramer's V as well as Spearman's correlation test (p<0.05). A total of 88 patients were diagnosed with thyroid eye disease during the study period. Thyroid eye disease primarily affected female patients (58%) and those who had a mean age of ≥41 years (58%). The Phi and Cramer's V analyses indicated no significant association (p > 0.05) between thyroid status and clinical activity score in thyroid eye disease patients. Intriguingly, the results exhibited the presence of euthyroidism as well as both overt and subclinical hypothyroidism and hyperthyroidism, regardless of the clinical activity score. Additionally, the Spearman test that incorporated the levels of thyroid hormones, i.e., triiodothyronine (T3), thyroxine (T4), thyroid stimulating hormone (TSH), and free thyroxine (FT4), showed a significant negative correlation (p<0.05) between TSH and clinical activity score. In conclusion, THS plays a crucial role in determining the clinical activity score of thyroid eye disease patients. This study underscores the imperative for further research to comprehensively elucidate the intricate correlation between TSH and clinical activity score.
ANALYSIS OF THE CLINICAL CHARACTERISTICS OF ORBITAL INFLAMMATION PATIENTS AT TERTIARY HOSPITAL IN EAST JAVA, INDONESIA Anggia dewi, Karina; Delfitri Lutfi; Kusuma Eko Purwantari; Indri Wahyuni
Majalah Biomorfologi 2026: MAJALAH BIOMORFOLOGI (IN PRESS)
Publisher : Universitas Airlangga, Surabaya, Indonesia

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Background: Orbital inflammation is a benign inflammatory condition affecting the eye socket and can involve the orbital soft tissue, ocular muscles, and optic nerve. The diagnosis of orbital inflammation can be tricky due to the lack of standardized clinical criteria and the potential for overlap with other orbital diseases. Method: This retrospective, observational, and analytical study focused on patients diagnosed with orbital inflammation at The Outpatient Ophthalmology Oncology Clinic. Data from 68 samples that met the inclusion and exclusion criteria were classified and analyzed with descriptive statistics, and the Chi-square test and Odds Ratio (OR) was used to measure the likelihood of two clinical characteristics occurring together, indicating the strength of the relationship between paired symptoms that may commonly appear simultaneously in orbital inflammation. Result: Most patients were female (55.9%) and within the 18-75 age group (97.1%). Orbital inflammation predominantly presented unilaterally (89.7%). The study found that the most frequent clinical characteristics were proptosis, red eyes, decreased vision, and orbital pain. Among all assessed clinical characteristics, proptosis and red eye showed the most significant association, followed by proptosis and dry eye, red eye and eyelid edema, and proptosis and ptosis. Conclusion: Orbital inflammation presents with a wide range of clinical characteristics, reflecting the diverse inflammatory processes that may occur in the orbit. The study identified key clinical characteristics of orbital inflammation, including proptosis, red eyes, decreased vision, and orbital pain. Particularly between proptosis and red eye, followed by proptosis and dry eye, red eye and eyelid edema, and proptosis and ptosis. These clinical features, when found together, support clinicians in recognizing and establishing a diagnosis of orbital inflammation.