Acaroglu Golge, Cetinkaya Ergun, Ileri Dilek, Ilhan Bayazit, Can Cigdem
Department of Neuro-Ophthalmology and Orbital Disease, Social Security Eye Hospital, Ankara, Turkey.
J Pediatr Ophthalmol Strabismus. 2004 Mar-Apr;41(2):96-9. doi: 10.3928/0191-3913-20040301-09.
To evaluate the findings of juvenile Graves' orbitopathy.
Retrospective evaluation of our patients with Graves' disease who are younger than 16 years.
Seventeen patients younger than 16 years were identified among 138 patients who were being treated for hyperthyroidism and goiter. Eleven (64.7%) of them had lid findings, orbital findings, or both and constituted 8.8% of the total of 125 such patients. Ophthalmic signs were common and were among the presenting signs in children with Graves' disease. Orbitopathy was mild and was more frequent in girls. Lower lid retraction and lag (ie, hesitation of the lower lids to follow upgaze) appeared to be constant and early findings.
Ophthalmologists and pediatricians should be aware of and look for lid signs in children presenting with related complaints and a history suggesting hyperthyroidism, goiter, or both.
评估青少年格雷夫斯眼病的检查结果。
对年龄小于16岁的格雷夫斯病患者进行回顾性评估。
在138例接受甲状腺功能亢进和甲状腺肿治疗的患者中，确定了17例年龄小于16岁的患者。其中11例（64.7%）有眼睑表现、眼眶表现或两者皆有，占125例此类患者总数的8.8%。眼部体征很常见，是格雷夫斯病患儿的首发体征之一。眼病较轻，在女孩中更常见。下睑退缩和滞后（即下睑追随上视时的迟疑）似乎是持续且早期出现的表现。
眼科医生和儿科医生应意识到并寻找有相关主诉及提示甲状腺功能亢进、甲状腺肿或两者皆有的病史的儿童的眼睑体征。
