IP International Journal of Ocular Oncology and Oculoplasty


Dazzling and sparkling eyes in ladies: boon or bane in ophthalmology


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Author Details: Sasmita Sahu, Swati Samikshya, Sarmistha Behera, Anuradha Pradhan, K.C. Tudu

Volume : 3

Issue : 3

Online ISSN : 2581-5016

Print ISSN : 2581-5024

Article First Page : 219

Article End Page : 225


Abstract

Aim of Study: To study the prevalence, demographic factors, clinical features, examination, diagnosis and treatment outcome of Thyroid Eye Disease (TED).
Introduction: Graves’s disease(GD) is the commonest autoimmune disorder affecting the thyroid gland which involves soft tissues of periorbital space, extraocular muscles and orbit. TED can be sight threatening besides its cosmetic effects. The manifestations can be effectively investigated and judiciously treated with antithyroid drugs and corticosteroid and surgery.
Materials and Methods: This Prospective study was done on 60 consecutive patients with Graves disease, relevant history was taken, thorough ocular examinations and investigations were done. All patients with thyroid ophthalmopathy were under antithyroid treatment.
Result: Out of 60 hyperthyroid patients, 27 presented with Grave’s Ophthalmopathy (GO), with female: male ratio of 8:1. 59.2% presented as moderate to severe GO, 37% mild, and only 1% had sight threatening GO. Upper lid retraction was the commonest presentation (100%) followed by proptosis (70.3%) and exposure keratitis (51.8%). Treatment given to patient based on current protocol was quite effective in maximum cases.

Keywords:
Thyroid Eye Disease (TED), Grave’s Ophthalmopathy (GO), Upper Lid Retraction, Proptosis