甲状腺眼病患者的单侧眼球突出：一例报告。

Unilateral proptosis in a patient with thyroid eye disease: A case report.

作者信息

Bhattarai Himal Bikram, Thapaliya Ishwor, Dhungana Shrawan, Singh Prabesh Bikram, Bhattarai Madhur, Pokhrel Bidushi, Khanal Santosh, Lamichhane Saral, Gautam Swotantra, Basnet Bibhusan

机构信息

Gandaki Medical College, Teaching Hospital and Research Center, Pokhara, Nepal.

Tribhuvan University, Institute of Medicine, Maharajgunj, Nepal.

出版信息

SAGE Open Med Case Rep. 2023 Jul 31;11:2050313X231190669. doi: 10.1177/2050313X231190669. eCollection 2023.

DOI:10.1177/2050313X231190669

PMID:37533488

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10392154/

Abstract

Unilateral proptosis is an abnormality in which one eye sticks out forward more than the other. Bulging of the eye is commonly seen in Graves' ophthalmopathy, but it's mostly bilateral. Thyroid eye disease presents as the most common extrathyroidal manifestation of Graves' disease, and rarely leads to unilateral proptosis. A 25-year-old female with a history of weight loss, menstrual irregularities, and palpitations presented with progressive right eye bulging, which was further confirmed by magnetic resonance imaging and biochemical investigations. Magnetic resonance imaging of the orbit revealed unilateral extraocular muscle enlargement and enhancement with sparing of the tendons. Timely therapy is crucial for reversing the ocular manifestations of thyroid eye disease.

摘要

单侧眼球突出是一种一只眼睛比另一只眼睛向前突出更多的异常情况。眼球突出常见于格雷夫斯眼病，但大多是双侧性的。甲状腺眼病是格雷夫斯病最常见的甲状腺外表现，很少导致单侧眼球突出。一名有体重减轻、月经不规律和心悸病史的25岁女性出现进行性右眼突出，磁共振成像和生化检查进一步证实了这一情况。眼眶磁共振成像显示单侧眼外肌增大并强化，肌腱未受累。及时治疗对于逆转甲状腺眼病的眼部表现至关重要。