OCULAR ASPECTS OF HYPERTHYROIDISM WITH SPECIAL REFERENCE TO OCULAR MYOPATHY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 32
Abstract
BACKGROUND Hyperthyroidism can result in ocular manifestations even before systemic signs and symptoms develop. It is seen more in females and severe forms are more common in males. Early detection of ocular involvement can prevent vision threatening complications and troublesome discomforts affecting quality of vision. This clinical study highlights the importance of detailed ocular examination in hyperthyroidism. MATERIALS AND METHODS Fifty consecutive patients with ocular signs of hyperthyroidism were evaluated and followed up for an average period of 1 year. Detailed ocular examination included exophthalmometric measurements, ocular movements and Worth four-dot test. T3, T4, TSH, CT scan and antimicrosomal antibodies and antithyroglobulin antibodies were done along with routine investigations. Study Design- Prospective cohort study. RESULTS Statistical analysis did not reveal any correlation between the level of serum T3 and severity of ocular findings. Majority of the cases were euthyroid with moderate ocular myopathy having multiple muscle involvement. Inferior rectus was affected most. CONCLUSION The ocular signs of hyperthyroidism in the present study seem to be mild. The severe eye changes like corneal involvement and optic nerve changes were less common.
Authors and Affiliations
Mallika O. U, Suma Job
Keywords
Related Articles
- EP ID EP218677
- DOI 10.18410/jebmh/2017/367
- Views 147
- Downloads 0
AWARENESS OF DIAGNOSIS AMONG CANCER PATIENTS AND ITS OUTCOME
BACKGROUND Clinical experience and research evidence suggests that in India many cancer patients are not informed about their diagnosis and prognosis. Previous studies have demonstrated an increased risk for psychiatric...
EFFECT OF ADDITION OF DEXAMETHASONE TO ROPIVACAINE IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK: A PROSPECTIVE, RANDOMISED, DOUBLE-BLIND STUDY
Addition of adjuvant has been widely used to prolong the duration of peripheral nerve block. We evaluated the effect of adding dexamethasone to ropivacaine in supraclavicular brachial plexus block. METHODS: Sixty patient...
STUDY ON INFLUENCE OF GESTATIONAL AGE AND BIRTH WEIGHT ON CORD BLOOD THYROID STIMULATING HORMONE AND THYROXINE
Congenital hypothyroidism is a more common pediatric endocrine disorder and also most common preventable cause of mental retardation. Early diagnosis by measuring Thyroid hormones thyroxine (T4), Thyroid Stimulating Horm...
HEMISECTION: A TREATMENT OPTION FOR AN ENDODONTICALLY TREATED MOLAR WITH VERTICAL ROOT FRACTURE
Vertical root fractures in endodontically treated teeth have long been reported and pose diagnostic difficulties. A hemisection/Root resection procedure which removes the fractured fragments completely, and retains a por...
ROLE OF MRI IN SONOGRAPHICALLY INDETERMINATE ADNEXAL LESIONS
BACKGROUND Adnexal lesion has been a common issue in all the age groups, more common in reproductive age groups. Diagnosis of adnexal mass is difficult and complex, for, it may be benign or malignant, and it’s the risk o...