Fells P, Lawton N F, Shine B, McCarry B
Moorfields Eye Hospital, London, United Kingdom.
Aust N Z J Ophthalmol. 1988 Feb;16(1):37-43. doi: 10.1111/j.1442-9071.1988.tb01198.x.
Once the diagnosis of thyroid eye disease has been made the doctor's problems begin because the management is long term with a condition that has many ramifications over a period of years. Short-term heroics to save vision by use of high-dose systemic steroids, orbital decompression or radiotherapy may have to be followed by control of diplopia by muscle surgery and prisms. Lid retraction, both upper and lower, may merit surgery, and even those patients who have come to terms with their facial appearance may still complain of lacrimation, irritation and grittiness. The advantages of a thyroid clinic, run jointly by a physician and an ophthalmologist, are presented and the patient is helped to live with this distressing condition.
一旦确诊为甲状腺眼病，医生的难题便接踵而至，因为这种疾病需要长期治疗，且在数年时间里会产生诸多影响。通过使用大剂量全身性类固醇、眼眶减压或放射疗法来短期内挽救视力的“英勇”举措之后，可能还需要通过肌肉手术和棱镜来控制复视。上睑和下睑退缩可能需要手术治疗，甚至那些已接受自身面部外观的患者仍可能抱怨流泪、眼部刺激和有异物感。本文介绍了由内科医生和眼科医生联合开办甲状腺诊所的优势，并帮助患者应对这种令人苦恼的疾病。
