1978
DOI: 10.1001/archopht.1978.03910060033007
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Dysthyroid Optic Neuropathy

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Cited by 202 publications
(41 citation statements)
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References 29 publications
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“…Optic neuropathy indicated by a decrease in the visual acuity is an important complication (Gorman 1978;Trobe et al 1978;Trobe 1981). The reason is probably pressure of the muscle cone on the optic nerve which is visualized on computerized tomography (Enzmann et al 1976).…”
Section: Discussioncontrasting
confidence: 42%
See 1 more Smart Citation
“…Optic neuropathy indicated by a decrease in the visual acuity is an important complication (Gorman 1978;Trobe et al 1978;Trobe 1981). The reason is probably pressure of the muscle cone on the optic nerve which is visualized on computerized tomography (Enzmann et al 1976).…”
Section: Discussioncontrasting
confidence: 42%
“…Because of this pathogenesis orbital decompression would seem to be a logical approach and good results are indeed obtained with this method (Gorman et al 1974;Panzo & Tomsak 1983). Good results have also been reported with glucocorticoids (Trobe et al 1978;Panzo & Tomsak 1983) and retrobulbar irradiation (Kriss et al 1975) but relapses occur. Amelioration of the visual acuity occurred in 7 eyes of the 6 patients with optic neuropathy in the present material.…”
Section: Discussionsupporting
confidence: 40%
“…The incidence of exophthalmos in patients with hyperthyroid disease ranges from 40% to 75% but fortunately only 2% to 5% of these patients have develop¬ ment of optic nerve involvement with loss of vision. [1][2] The clinical course of Graves' ophthalmopathy may be completely independent from the clinical course of the as¬ sociated thyroid disease. In fact, the eye disease may occur long after the thyroid disease has been appropriately treated.…”
mentioning
confidence: 44%
“…Transantral decompression of the orbit offers a safe and effective therapeutic modality for vision-threatening Graves' ophthalmopathy. ( Graves' disease is a multisystem disorder of unknown etiology that is characterized by one or more of the following: (1) hyperthyroidism associated with diffuse hyperplasia of the thyroid gland, (2) infiltrative ophthal¬ mopathy, and (3) infiltrative dermopathy (localized pretibial myxedema). The incidence of exophthalmos in patients with hyperthyroid disease ranges from 40% to 75% but fortunately only 2% to 5% of these patients have develop¬ ment of optic nerve involvement with loss of vision.…”
mentioning
confidence: 51%
“…Typically, orbital signs and symptoms including proptosis, chemosis, congestion of episcleral and conjunctival blood vessels, elevation of intraocular pressure, limitation of extraocular motility, and orbital pain are present. Degradation of the corneal surface can also cause loss of visual acuity 4. Computerised tomography (CT) can establish the degree of extraocular muscle and orbital fat enlargement, exclude coexisting orbital pathology, clarify a confounding clinical picture, and aid planning of surgery or radiotherapy.…”
mentioning
confidence: 99%