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甲状腺功能减退症的诊断和治疗使控制不佳的青光眼得到逆转。

Reversal of poorly controlled glaucoma on diagnosis and treatment of hypothyroidism.

作者信息

Smith K D, Tevaarwerk G J, Allen L H

机构信息

Department of Ophthalmology, University of Western Ontario, London.

出版信息

Can J Ophthalmol. 1992 Dec;27(7):345-7.

PMID:1490245
Abstract

Hypothyroidism was diagnosed in a 62-year-old woman with poorly controlled primary open-angle glaucoma, including a disc hemorrhage and a documented arcuate scotoma. After 1 year of thyroxine therapy the glaucoma was easily controlled, pilocarpine treatment was stopped and the visual fields were completely normal. To our knowledge this is the first report in the modern literature of reversal of open-angle glaucoma with treatment of hypothyroidism.

摘要

一名62岁女性被诊断为甲状腺功能减退,同时患有控制不佳的原发性开角型青光眼,包括视盘出血和记录在案的弓形暗点。经过1年的甲状腺素治疗,青光眼得到了轻松控制,毛果芸香碱治疗停止,视野完全正常。据我们所知,这是现代文献中关于通过治疗甲状腺功能减退使开角型青光眼逆转的首例报告。

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1
Reversal of poorly controlled glaucoma on diagnosis and treatment of hypothyroidism.甲状腺功能减退症的诊断和治疗使控制不佳的青光眼得到逆转。
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引用本文的文献

1
No evidence of a causal relationship between hypothyroidism and glaucoma: A Danish nationwide register-based cohort study.甲状腺功能减退与青光眼之间无因果关系的证据:一项基于丹麦全国登记册的队列研究。
PLoS One. 2018 Feb 14;13(2):e0192311. doi: 10.1371/journal.pone.0192311. eCollection 2018.
2
Hypothyroidism and Glaucoma in The United States.美国的甲状腺功能减退症与青光眼
PLoS One. 2015 Jul 31;10(7):e0133688. doi: 10.1371/journal.pone.0133688. eCollection 2015.
3
Ocular changes in primary hypothyroidism.原发性甲状腺功能减退症的眼部变化。
BMC Res Notes. 2009 Dec 29;2:266. doi: 10.1186/1756-0500-2-266.