Evidence map›Paper›PMID 42523582›Full record

ArticleInternational journal of ophthalmology2026

Medium-dose intravenous methylprednisolone pulse therapy for thyroid-associated orbitopathy.

Ashfaque Rahman Khan, Sadia Sultana, Riffat Rashid, Farzana Afzal, Syeed Mehbub Ul Kadir

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Article in International journal of ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ashfaque Rahman KhanBangladesh Eye Hospital, Zigatola Ltd., Dhaka 1209, Bangladesh.
Sadia SultanaDepartment of Oculoplasty, Ispahani Islamia Eye Institute and Hospital, Dhaka 1215, Bangladesh.
Riffat RashidDepartment of Oculoplasty, Ispahani Islamia Eye Institute and Hospital, Dhaka 1215, Bangladesh.
Farzana AfzalDepartment of Oculoplasty, Ispahani Islamia Eye Institute and Hospital, Dhaka 1215, Bangladesh.
Syeed Mehbub Ul KadirDepartment of Oculoplasty, National Institute of Ophthalmology & Hospital, Dhaka 1207, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the efficacy and safety of a medium-dose intravenous methylprednisolone (IVMP) pulse regimen for moderate-to-severe active thyroid-associated orbitopathy (TAO), with change in clinical activity score (CAS) as the primary outcome.

methodsThis prospective interventional study was conducted at a tertiary eye care center in Bangladesh between February and November 2022. Patients with active moderate-to-severe TAO (CAS≥3) received IVMP totaling 4.0 g (500 mg daily for 3 consecutive days, followed by 500 mg every 3wk for 5 cycles). Clinical outcomes, including CAS, proptosis measured by Hertel exophthalmometry, best-corrected visual acuity (BCVA; logMAR), and intraocular pressure (IOP), were assessed at baseline and at 6mo.

resultsA total of 30 patients with active TAO were enrolled and completed the 6-month follow-up. The mean age of the participants was 38.63±12.11y, and 19 (63.3%) were male. The mean CAS decreased significantly from 3.66±1.03 to 0.87±0.63 (mean change -2.79±0.95;

conclusionMedium-dose IVMP (4.0 g) significantly improve disease activity, proptosis, visual acuity, and IOP, with an acceptable safety profile. This regimen represents an effective and safer alternative to high-dose IVMP for active moderate-to-severe TAO, particularly in resource-limited settings. Larger, multicenter trials with longer follow-up periods are needed to confirm these findings.

Indexed as

BangladeshGraves'intravenous methylprednisolonelow-dose pulse therapyorbitopathythyroid-associated orbitopathy

Identifiers

PMID42523582
PMCPMC13407147

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