Percent reduction in proptosis after teprotumumab treatment for thyroid eye disease.

Rosenblatt, Tatiana R; Chiou, Carolina A; Yoon, Michael K; Lee, Nahyoung Grace; Wolkow, Natalie; Freitag, Suzanne K · Br J Ophthalmol · 2025

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Abstract

Prior studies of teprotumumab for thyroid eye disease report proptosis reduction in millimetres, which does not fully capture teprotumumab's clinical effect since a given number of millimetres change can be of variable impact depending on patients' degree of pre-treatment proptosis. In this retrospective study analysing proptosis change as a percentage of pre-treatment proptosis among 119 patients, 208 (87.4%) eyes of 110 patients had proptosis reduction averaging 14.4% (range 2.2-40.5%) of their pre-treatment proptosis, or 3.3 mm (range 0.5-10.0 mm). Reporting proptosis reduction as a percentage of pre-treatment proptosis provides a better understanding of teprotumumab's clinical impact.

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