Evidence map›Paper›PMID 41591619›Full record

ArticleInternational ophthalmology2026

Quantification of enlargement of the levator palpebrae superioris muscle in thyroid eye disease.

Lewis Hains, Khizar Rana, Abdullah Almater, Sandy Patel, Dinesh Selva

Abstract read
In one paragraph

Article in International ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lewis HainsAdelaide Medical School, Adelaide University, Adelaide, Australia. lewis.hains@student.adelaide.edu.au.
Khizar RanaAdelaide Medical School, Adelaide University, Adelaide, Australia.
Abdullah AlmaterResearch Excellence Center in Ophthalmology and Visual Sciences, Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Sandy PatelAdelaide Medical School, Adelaide University, Adelaide, Australia.
Dinesh SelvaAdelaide Medical School, Adelaide University, Adelaide, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThyroid eye disease (TED) is an autoimmune-mediated inflammatory condition of the orbit leading to hypertrophy and inflammation of the orbital extra-ocular muscles (EOMs). Previous studies have sought to quantify this enlargement, but due to the anatomical proximity and limitations in imaging quality, have measured the superior rectus (SR) and Levator Palpebrae Superioris (LPS) complex together rather than measuring the individual muscles. METHODOLOGY: Retrospective manual measurements from high-field (3-Tesla) fat-suppressed contrast-enhanced T1-weighted magnetic resonance imaging (MRI) of the orbits were taken from patients diagnosed with TED. To produce a control group, orbital MRIs were measured from patients being investigated for other non-TED related orbital pathology.

results47 patients were included with TED with 78 orbits measured (L: 42 R: 37). In the control group, 111 patients with 163 orbits measured were included. In the TED cohort the mean ratio of LPS to SR size was 1.04 (SD: 0.53) compared to 0.947 (SD 0.33) in the non-TED cohort with no statistically significant difference (p = 0.3381). The LPS in the TED cohort had a mean muscle thickness of 2.4 mm (SD 0.895), which was higher than the non-TED cohort (p < 0.01) which had a mean thickness of 1.56 mm (SD 0.36). This study found LPS enlargement occurred in 48.7% of TED orbits.

conclusionThis study demonstrates that absolute LPS enlargement is a common finding in TED, occurring in nearly half of affected orbits. This is the first study to individually segment and quantify the extent of enlargement of the LPS relative to the SR using modern medical imaging.

Indexed as

Graves OphthalmopathyMagnetic Resonance ImagingOculomotor MusclesAdultAgedFemaleHumansHypertrophyMaleMiddle AgedRetrospective StudiesOrbitRadiologyThyroid eye disease

Identifiers

PMID41591619
PMCPMC12847210

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