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垂体疾病中的眼睛。

Eyes in pituitary disorders.

作者信息

Chen Y, Liu Z H, Lin Z H, Shi X Z

机构信息

Department of Ophthalmology, The Affiliated Hospital to Changchun University of Chinese Medicine, Changchun, Jilin province, China.

出版信息

J Biol Regul Homeost Agents. 2018 Jan-Feb;32(1):97-99.

PMID:29504371
Abstract

The eye is a vital sense organ related to vision, conveying the underlying physical and mental state of well-being of an individual. Eye signs are often associated with endocrinal disorders such as exophthalmos in thyro-toxicosis. However, a thorough eye evaluation may lead to the identification of the early features that help in the diagnosis of various endocrine disorders. This is of vital importance especially in the central nervous system lesions. This is observed more in cases of pituitary mass lesions, which often present with functional hormonal alterations rather than visual symptoms. The definitive therapy has to be provided before it reaches the late stage of the disease which might lead to permanent visual disabilities. Hence, ophthalmologists, endocrinologists, neuro-radiologists and neurosurgeons need to intervene with combined efforts. In this review, we highlight the eye signs in pituitary disorders, along with a brief description of uncommon ocular-pituitary syndromes.

摘要

眼睛是与视觉相关的重要感觉器官,传达着个体潜在的身心健康状态。眼部体征常与内分泌紊乱有关,如甲状腺毒症中的眼球突出。然而,全面的眼部评估可能有助于识别有助于诊断各种内分泌紊乱的早期特征。这在中枢神经系统病变中尤为重要。在垂体肿块病变中更常观察到这种情况,垂体肿块病变通常表现为功能性激素改变而非视觉症状。必须在疾病发展到晚期之前提供明确的治疗,否则可能导致永久性视力残疾。因此,眼科医生、内分泌科医生、神经放射科医生和神经外科医生需要共同努力进行干预。在这篇综述中,我们重点介绍垂体疾病中的眼部体征,并简要描述罕见的眼垂体综合征。

相似文献

1
Eyes in pituitary disorders.垂体疾病中的眼睛。
J Biol Regul Homeost Agents. 2018 Jan-Feb;32(1):97-99.
2
Eye Signs in Pituitary Disorders.垂体疾病的眼部征象。
Neurol India. 2019 Jul-Aug;67(4):979-982. doi: 10.4103/0028-3886.266265.
3
Ophthalmic clues to the endocrine disorders.内分泌紊乱的眼科线索。
J Endocrinol Invest. 2017 Jan;40(1):21-25. doi: 10.1007/s40618-016-0532-7. Epub 2016 Aug 27.
4
AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY DISEASE STATE CLINICAL REVIEW: POSTOPERATIVE MANAGEMENT FOLLOWING PITUITARY SURGERY.美国临床内分泌医师协会和美国内分泌学会疾病状态临床综述:垂体手术后的术后管理
Endocr Pract. 2015 Jul;21(7):832-8. doi: 10.4158/EP14541.DSCR.
5
[Diseases of the pituitary gland: clinical aspects and biochemical evaluation].
Wien Klin Wochenschr. 2003;115 Suppl 2:19-22.
6
Ophthalmic features of systemic diseases.全身疾病的眼部特征。
Ann Med. 2012 May;44(3):242-52. doi: 10.3109/07853890.2011.572904. Epub 2011 May 13.
7
The eye in neurological disease.神经系统疾病中的眼睛。
Lancet. 2004;364(9450):2045-54. doi: 10.1016/S0140-6736(04)17517-X.
8
[Hypophysitis].[垂体炎]
Przegl Lek. 2007;64(7-8):515-20.
9
Encephalocraniocutaneous Lipomatosis Without Ocular Malformations.无眼部畸形的脑颅皮肤脂肪瘤病
Pediatr Neurol. 2016 Jul;60:71-4. doi: 10.1016/j.pediatrneurol.2016.03.005. Epub 2016 Mar 22.
10
Pituitary adenoma.垂体腺瘤
Optom Clin. 1993;3(3):101-25.

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