Ultrasonography in Ophthalmology XV pp 371-376 | Cite as
Thyroid-associated ophthalmopathy: a new sign
Chapter
Abstract
The authors describe a new sign in thyroid ophthalmopathy, i.e., sovraorbital and retroocular pain together with increased intraocular pressure in upgaze. This is a very early sign which tends to disappear in the late phases. The sign is correlated with the dynamics of the extraocular muscle enlargement.
Key word
Thyroid-associated ophthalmopathy pain in upgaze IOP increasePreview
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References
- [1]V. Sridama and L.J. De Groot. Treatment of Graves’ disease and the course of ophthalmopathy. Am. J. Med. 1989; 87: 70–73.PubMedCrossRefGoogle Scholar
- [2]A.P. Weetman, S. Choen, K.C. Gatter, P. Fells and B. Shine. Immunohistochemical analysis of the retrobulbar tissue in Graves’ ophthalmopathy. Clin. Exp. Immunol. 1989; 75: 222–227.PubMedGoogle Scholar
- [3]A.P. Weetman. Thyroid associated eye disease: Pathophysiology. The Lancet 1991; 388: 25–28.CrossRefGoogle Scholar
- [4]S.C. Werner. Modification of the classification of eye disease changes in Graves’ disease: recommendation of the ad hoc committee of the American Thyroid association (editorial). J. Clin. Endocrin. Metabol. 1977; 44: 203–211.CrossRefGoogle Scholar
- [5]H.J.L. Van Dyk. Orbital Graves’ disease: a modification of the NOSPECS classification. Ophthalmology 1981; 88: 479–488.PubMedGoogle Scholar
- [6]D. Glioner, J. Etienne-Decerf, M. Schrooyen, G. Sand, P. Hoyoux, P. Maheieu and R. Winand. Beneficial effects of intensive plasma exchange followed by immunosuppressive therapy in severe Graves’ ophthalmopathy. Acta Endocrinol. 1986; 111: 30–38.Google Scholar
- [7]P.E. Gallenga, G.F. Parmiani, L. Lobefalo, S. Sensi, L. De Remigis, G. Di Marzio and A. Troiano. Oftalmopatia di Graves ed oftalmotono. Clin. Ocul. e Patol. Ocul. 1989; 10 (5): 353–357.Google Scholar
- [8]P. Fells. Thyroid associated eye disease: clinical management. The Lancet 1991; 338: 29–32.CrossRefGoogle Scholar
- [9]K.C. Ossoinig. Die Ultraschalldiagnostik der Orbita. Klin. Mbl. Augenheilk. 1966; 149: 817–821.PubMedGoogle Scholar
- [10]D.D. Coleman. Reliability of ocular and orbital diagnosis with B-scan ultrasound: II Orbital diagnosis. Am. J. Ophthalmol. 1972; 174: 843–847.Google Scholar
- [11]A. Reibaldi, G. Assennato, T. Avitabile and M.G. Uva. The echobiometric measurements of the extraocular muscle in normal subjects. In J.M. Thijssen (ed.), Ultrasonography in ophthalmology. Dordrecht: Kluwer Academic Publishers, 1988.Google Scholar
- [12]P.E. Gallenga and V. Mazzeo. La posizione ecografica in confronto alle altre metodiche diagnostiche. Indicazioni e limiti. In Ultrasuoni in medicina: Atti II Congresso Naz. S.I.S.U.M. (Rome). 1976; 65–74.Google Scholar
- [13]E. Dal Ponte. Il problema trocleare. In E. Dal Ponte (ed.), Cefalea primaria e occhio. Turin: SMO Publisher. 1992; 107–14.Google Scholar
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