Fells P
Moorfields Eye Hospital, London.
Eye (Lond). 1988;2 ( Pt 2):198-200. doi: 10.1038/eye.1988.36.
The best systemic treatment of dysthyroid ophthalmopathy remains high dosage Prednisolone. Other methods of immunosuppression such as Azathioprine and Cyclosporin A have proved disappointing, as has plasmapheresis. Other localised means may be used and these are radiotherapy to the retrobulbar tissues or orbital decompression. These methods may be used in addition to or instead of high dose Prednisolone but some surgeons prefer to try Prednisolone as a first measure.
甲状腺功能障碍性眼病的最佳全身治疗方法仍然是大剂量泼尼松龙。其他免疫抑制方法,如硫唑嘌呤和环孢素A,已被证明效果不佳,血浆置换也是如此。也可采用其他局部治疗方法,即对球后组织进行放射治疗或眼眶减压术。这些方法可与大剂量泼尼松龙联合使用或替代它,但一些外科医生更倾向于首先尝试使用泼尼松龙。