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Home > West Medicine > Surgery > General Surgery
百科

Thyroid eye disease (Graves orbitopathy)

普外科

Common symptoms

看东西有小黑点、眼内有异物感、视力障碍、甲状腺激素偏高、眼球突出、畏光及流泪、结膜充血、眼结膜水肿及角膜溃疡、复视

The pathology of disease

Thyroid eye disease (Graves orbitopathy) is autoimmune orbital inflammation; proptosis; lid retraction; diplopia; conjunctival injection; smoking worsens; steroids/radiotherapy/surgery.

Symptoms

Proptosis; lid retraction ('stare'); diplopia; conjunctival injection; dry eye; Graves; smoker; sight-threatening (corneal exposure/optic nerve)

Causes

TSH receptor autoimmunity; Graves; smoking; thyroid dysfunction.

Treatment

Euthyroid state; stop smoking; lubricants; IV steroids for active; orbital decompression/radiotherapy; surgery when stable

Dept

Ophthalmology / endocrinology / oculoplastics.

Warm reminder: Health education reference only; seek care at regular hospital.