Clinical study of thyroid related orbitopathy.

Nehru, S (2006) Clinical study of thyroid related orbitopathy. Masters thesis, Madras Medical College, Chennai.

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Abstract

Graves’ orbitopathy has been known for close to 200 years. Since its first description Graves’ disease with its complex manifestations and unpredictable clinical course has fascinated and frustrated internists, surgeons, ophthalmologists and immunologists alike. It is enigmatic by what mechanism the thyroid gland and ocular tissues interact, and in what ways the clinician may modify possible inter relationships. Conclusion: Most of the patients who come for ophthalmic department with TRO are females belonging to 30 – 50 yrs of age. Surprisingly they do not have visual problems (nor) show signs of optic nerve compression. Though many of them had toxic thyroid symptoms and swelling, even enlargement of EOM on USG, ‘B’ scan orbit and CT scan the proptosis was mostly minimal. Many of them were on medical Treatement associated with proptosis for thyroid and required systemic steroids for arresting progression of ophthalmic disease. The most important reason for consulting ophthalmologists is to get a good cosmetic appearance since many of these patients have marked lid retraction, with even minimal proptosis, cause an ugly starring look either unilaterally or bilaterally. Simple procedure of marginal ‘z’ myotomy gives good acceptable cosmetic results in these patients and this procedure can be done easily by all ophthalmologists and there is no requirement for special instruments and sutures. However, long term effect and results of this procedure are to be evaluated.

Item Type: Thesis (Masters)
Uncontrolled Keywords: thyroid related orbitopathy; Graves’ orbitopathy
Subjects: MEDICAL > Ophthalmology
Depositing User: Devi S
Date Deposited: 27 Jul 2017 06:49
Last Modified: 27 Jul 2017 06:49
URI: http://repository-tnmgrmu.ac.in/id/eprint/2234

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