Managing Graves?? Orbitopathy

Coday, Mary P.; Dallow, Richard L.

doi:10.1097/00004397-199803810-00009

Cited by 5 publications

(3 citation statements)

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“…Signs and symptoms result from swollen orbital tissues and may include conjunctival injection, dry eyes, eyelid retraction, proptosis, diplopia, corneal exposure and seldom optic neuropathy (Coday & Dallow 1998;Boergen 1991;Fells 1991). TAO may occur at any age, but the mean age is reported to be 45 years (Kendall-Taylor 1998).…”

Section: T Hyroid-associated Orbitopathy (Tao)mentioning

confidence: 99%

“…T hyroid-associated orbitopathy (TAO) is characterized by inflammation and enlargement of the extraocular muscles as well as the retroocular connective tissue spaces (Bahn 1998;Gladstone 1998). Signs and symptoms result from swollen orbital tissues and may include conjunctival injection, dry eyes, eyelid retraction, proptosis, diplopia, corneal exposure and seldom optic neuropathy (Coday & Dallow 1998;Boergen 1991;Fells 1991). TAO may occur at any age, but the mean age is reported to be 45 years (Kendall-Taylor 1998).…”

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confidence: 99%

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Thyroid‐associated orbitopathy developed during hormone replacement therapy

Øgard¹,

Øgard²,

Almdal³

2001

Acta Ophthalmologica Scandinavica

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ABSTRACT.Thyroid-associated orbitopathy (TAO) developed in relation to estrogen combined with progesterone therapy has not been reported previously. We report a case of a 56-year-old postmenopausal woman who during estrogen/progesterone treatment developed signs and symptoms of orbitopathy. The patient had no previous history of autoimmune-or thyroid disorders. The initial eye symptoms disappeared after withdrawal of hormone replacement therapy. Five years later estrogen/progesterone treatment was re-instituted. The patient had relapse of orbitopathy. The hormones were discontinued and the eye symptoms disappeared again. This suggests that estrogen and/or progesterone could be of some pathogenetic importance in the induction of orbitopathy

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Section: T Hyroid-associated Orbitopathy (Tao)mentioning

confidence: 99%

mentioning

confidence: 99%

Thyroid‐associated orbitopathy developed during hormone replacement therapy

Øgard¹,

Øgard²,

Almdal³

2001

Acta Ophthalmologica Scandinavica

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“…In general, staged surgeries may be needed to correct the strabismus induced by TRO. Most surgeons recommend an observation time up to 6 months after ocular deviation have stabilized [7,[13][14][15]. Meyer, D.R suggested that a stable postoperative alignment is more likely reached after an extended period of stable preoperative alignment, and it minimizes the need for repeated strabismus surgery [7].…”

Section: Discussionmentioning

confidence: 99%

Strabismus Surgery in Thyroid-Related Ophthalmopathy

Lin¹,

Lin²,

Bee³

et al. 2014

Thyroid Disorders Ther

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Background: Restrictive strabismus is a common feature of Thyroid-Related Ophthalmopathy (TRO) causing intractable diplopia. We reviewed the surgical outcome for TRO patients. Methods: We retrospectively reviewed patients of TRO who underwent strabismus surgery from January, 1998 to September, 2012. Preoperative characteristics were recorded such as age, sex, disease severity, presence of compressive optic neuropathy or elevation of intraocular pressure, symmetry of orbitopathy, duration between onset of TRO and surgery, smoking status, and treatment. The length of muscle recession and the numbers of strabismus surgeries was recorded for further analysis. Results: Twenty-four patients were enrolled with twelve female and twelve male in a mean age of 55.5 years (SD + 10.71). The mean number of surgery was 1.29 (SD + 0.46). Patients with aymmetric involvement at onset, presence of elevated intraocular pressure, and longer intervals between the onset of TRO and first surgery needed significantly more surgeries to correct strabismus. Factors such as age, gender, smoking status, medical treatment before surgery, presence of compressive optic neuropathy or previous orbital decompression procedure had no statistically significant effect on the number of surgery required. Conclusion: Strabismus surgery showed favorable outcomes in correcting diplopia induced by thyroid-related ophthalmopathy. The average number of surgery needed is 1.29 (±0.46) in this study, and the mean surgical effect we got was 4.09+0.26 PD/mm of rectus muscle recession.

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Chemotherapy for Adult Tumors

Wilson¹,

Galindo-Rodriquez²

2005

Orbital Tumors

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Managing Graves?? Orbitopathy

Cited by 5 publications

References 0 publications

Thyroid‐associated orbitopathy developed during hormone replacement therapy

Thyroid‐associated orbitopathy developed during hormone replacement therapy

Strabismus Surgery in Thyroid-Related Ophthalmopathy

Chemotherapy for Adult Tumors

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