A report is given of 4 patients with progressive ophthalmopathy in Graves' disease treated by total or subtotal thyroidectomy. The post-operative ophthalmological examination revealed evident regression of ocular symptoms and signs. Serial examinations of the ocular motility, the field of binocular single vision, as well as ultrasonic study were performed and gave an objective support to the improvement of the ocular disturbances. The symptomatical and presumed causal treatment of Graves' ophthalmopathy is reviewed and the possible immunological basis is discussed. It is concluded that a reduction in thyroid mass seems to diminish ophthalmic manifestations of Graves' disease.
Five children, previously treated for capillary haemangiomas of the eyelid and orbit, have been examined concerning the functional and cosmetic results of the treatment. Different principles of treatment have been applied (surgical, X-irradiation and systemic corticosteroid). All the children developed amblyopia in varying degrees in the affected eye, dependent on the localization of the tumour and duration of eyelid occlusion. They also developed persisted corneal astigmatism. The results of refraction, oculometric measurement and CT-scan are compared and discussed. From the results of the follow-up examination and the literature on the subject, we have attempted to give guidelines for the treatment of children with eyelid and orbital capillary haemangiomas.
Five children earlier treated for capillary hemangiomas of the eyelid and orbit have been examined for cosmetic and functional results of treatment as well as their ocular status. In all cases the optic axis has been obstructed for a varying period in the first year of life. Two patients got exceedingly amblyopic and 3 patients moderately amblyopic. The cosmetic result is satisfactory in three cases. Different treatments have been used in these cases, i.e. surgical, X-ray and corticosteroid. The most essential aspect of the treatment is to open the eyeslit so much that the optic axis is free and in this way try to prevent amblyopia.
A report is given of a patient with exudative ciliochoroidal and retinal detachment associated with posterior scleritis. The history and clinical findings were similar to earlier described cases and initially led to suspicion of a malignant melanoma. Ultrasonic examination performed by combination of standardized A-scan and contact B-scan technique allowed the diagnosis to be established and the regression of this condition to be followed. There was complete recovery after treatment with atrophine and topical steroids.
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