Robert P-Y, Camezind P, Adenis J-P
Service d'Ophtalmologie, CHU Dupuytren, 2, avenue Martin Luther King, 87042 Limoges.
J Fr Ophtalmol. 2004 Sep;27(7):819-21. doi: 10.1016/s0181-5512(04)96222-5.
The complications of dysthyroid ophthalmopathy should be known and screened in every patient since they can worsen visual prognosis and are critical to the decision for treatment. Ocular surface alteration can result from eyelid malposition, blinking deficiency, eye dryness, and proptosis. Oculomotor disorders are detected by coordimetry or a forced duction test. Optic neuropathy can be compressive or glaucomatous. Intraocular pressure elevation can result from elevation of intraorbital pressure, indentation by an enlarged muscle, or increased backflow in episcleral veins.
甲状腺功能异常性眼病的并发症在每位患者中都应予以了解和筛查，因为它们会使视觉预后恶化，且对治疗决策至关重要。眼表改变可由眼睑位置异常、眨眼不足、眼干和眼球突出引起。眼球运动障碍通过视野计或被动牵拉试验检测。视神经病变可为压迫性或青光眼性。眼压升高可由眶内压升高、肿大肌肉的压迫或巩膜静脉回流增加导致。
