Shields C L, Nelson L B, Carpenter G C, Shields J A
Pediatric Ophthalmology Service, Wills Eye Hospital, Philadelphia, PA 19107.
Br J Ophthalmol. 1988 Jun;72(6):424-7. doi: 10.1136/bjo.72.6.424.
A newborn boy was noted by his mother to have a prominent left eye at birth, but an eye examination was delayed until age 7 months, at which time his ophthalmologist diagnosed exophthalmos. Computed tomography was interpreted as showing mild, diffuse, optic nerve thickening bilaterally suggestive of optic nerve gliomas. Subsequent examination in our clinic revealed pseudoproptosis secondary to retraction of the left upper eyelid. Magnetic resonance imaging demonstrated normal orbital structures. The mother was noted to be clinically hyperthyroid, and abnormal thyroid function tests confirmed the diagnosis. Although the infant was euthyroid, neonatal Graves' ophthalmopathy was diagnosed. He was managed by close observation while his mother was treated for her hyperthyroidism.
一位男婴出生时，其母亲就注意到他的左眼突出，但眼部检查推迟到了7个月大时进行，当时他的眼科医生诊断为眼球突出。计算机断层扫描显示双侧视神经轻度、弥漫性增厚，提示视神经胶质瘤。随后在我们诊所的检查发现，左眼上睑退缩继发假性眼球突出。磁共振成像显示眼眶结构正常。注意到患儿母亲临床上有甲状腺功能亢进，甲状腺功能检查异常证实了诊断。尽管婴儿甲状腺功能正常，但仍诊断为新生儿格雷夫斯眼病。在其母亲接受甲状腺功能亢进治疗的同时，对婴儿进行密切观察。
