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orbitopathy, ophtalmopathy

Jean-Louis Sadoul
Thyroid ophthalmopathy is one of the features of auto-immune thyroid diseases. Exophtalmos is not the only sign of this affection and may even be absent in severe sight-threatening cases. All subjects with this ophtalmopathy should benefit from euthyroidism restoration, smoking withdrawal and local measures. Objective and repeated assessment should identify the mild and stable disease carrying a fair prognosis and therefore recognize without delay the other patients for whom an optimal management will be supported by a multidisciplinary and expert team...
December 2011: La Presse Médicale
Mohsen Bahmani Kashkouli, Sara Jam, Duman Sabzvari, Nooshin Ketabi, Shahrzad Azarinia, SeyedAhmad SeyedAlinaghi, Alireza Mofid
We determined the frequency of clinical thyroid ophthalmopathy in Iranian patients. This cross-sectional study was performed at the Endocrinology Institute of Tehran University of Medical Sciences. All patients with documented thyroid disorders from September 2003 to July 2005 were recruited. Eye examinations included evaluation of soft tissue changes, measurement of proptosis, lid width, lagophthalmos, evaluation of eye muscle function, and determination of visual acuity. The activity of ophthalmopathy was scored according to the NOSPECS scale...
2011: Acta Medica Iranica
E Longueville
Graves disease orbitopathy is a complex progressive inflammatory disease. Medical treatment remains in all cases the proposed treatment of choice. Surgical treatment by bone decompression can be considered as an emergency mainly in cases of optic neuropathy or ocular hypertension not being controlled medically or in post-traumatic exophthalmos stage. Emergency bone decompression eliminates compression or stretching of the optic nerve allowing visual recovery. The uncontrolled ocular hypertension will benefit from decompression...
2010: Revue de Laryngologie—Otologie—Rhinologie
N Hornez, S Morell-Dubois, J-P Woillez, V Queyrel, H Charlanne, D Launay, M Lambert, E Hachulla, J-L Wemeau, P-Y Hatron
Euthyroid Graves' disease is defined as an ophtalmopathy without any clinical or biological signs of thyroid dysfunction. It highlights the apparent dissociation between orbitopathy and thyroid disease. Diagnosis is often too late while early treatment could really improve functional prognosis. We report a 57-year-old woman who presented with this entity and that illustrates both the diagnostic difficulty and disease course after intravenous corticosteroid therapy.
November 2009: La Revue de Médecine Interne
Agata Czarnywojtek, Małgorzata Zgorzalewicz-Stachowiak, Ewa Florek, Wojciech Piekoszewski, Izabela Warmuz-Stangierska, Izabela Kulińska-Niedziela, Krzesisława Komar-Rychlicka, Jerzy Sowiński
INTRODUCTION: Orbitopathy associated with Graves' disease TAO (thyroid associated orbitopathy) is likewise connected with environmental factors including tobacco smoking. Tobacco smoking increases the risk of ophthalmologic pathology and leads to the orbital tissue damage due to the hypoxia. The aim of the study was to correlate the concentration of urinecotinine (marker of tobacco smoking) in Graves' disease patients with TAO with points received on the Fagerström questionnaire. MATERIALS AND METHODS: Thirty women with different degree of exacerbation of TAO in Graves' disease (34...
November 2006: Endokrynologia Polska
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