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Home > West Medicine > ENT & Ophthalmology > Ophthalmology

Classroom classification

百科

Thyroid-associated ophthalmopathy

眼科

Common symptoms

眼干、眼球移位、驻站医、发炎、视野缺损、上睑下垂、流泪、结膜充血、眼胀、角膜炎、软组织肿胀

The pathology of disease

Thyroid-associated ophthalmopathy (Graves orbitopathy) is autoimmune orbital inflammation; proptosis; lid retraction; diplopia; conjunctival injection; smoking worsens; steroids/radiotherapy/decompression.

Symptoms

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

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