Division of Endocrinology, Metabolism and Nutrition, Mayo Clinic School of Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Med Clin North Am. 2012 Mar;96(2):311-28. doi: 10.1016/j.mcna.2012.01.014. Epub 2012 Feb 22.
Optimum care of the patient with Graves ophthalmopathy (GO) is achieved through teamwork between the endocrinologist and ophthalmologist, with input from ancillary specialists as needed. Clinical evaluation should include determination of both the severity and the activity of the disease. It is important to assess early in the evaluation the impact of the disease on the patient's quality of life and their priorities and expectations regarding management. Once this information has been gathered, careful discussion between patient and physicians can define the management plan. This article reviews the pathophysiology, epidemiology, evaluation, and management of GO.
Graves 眼病(GO)患者的最佳治疗需要内分泌医生和眼科医生的团队合作,并根据需要由辅助专家提供意见。临床评估应包括确定疾病的严重程度和活动度。在评估早期评估疾病对患者生活质量的影响以及他们对管理的优先事项和期望非常重要。一旦收集到这些信息,患者和医生之间的仔细讨论可以确定管理计划。本文综述了 GO 的发病机制、流行病学、评估和管理。