Domenjôd M, Merle H, Gerard M, Ayeboua L, Poman G
Service d'Ophtalmologie, CHU de Fort-de-France, Hŏpital Pierre Zobda-Quitman.
J Fr Ophtalmol. 1996;19(8-9):543-50.
Among 50% of patients with hyperthyroidism develop manifestations of ophthalmopathy and there are between 2% and 5% with severe Graves' ophthalmopathy. The optic neuropathy is a complication of Graves' disease and can be very dangerous for the visual acuity and the treatment must be very fast. We report two cases of severe Graves' ophthalmopathy observed in two black patients from Martinique (French West Indies). Orbital irradiation can be choosed after initial unsuccessful treatment with corticotherapy and before a surgical decompression. These three therapeutics can be combined together according to the results of the treatment and require a real coordination between ophthalmologists, endocrinologists and radiotherapeutists as well as a good cooperation from the patient himself.
50%的甲状腺功能亢进患者会出现眼病表现，其中2%至5%患有严重的格雷夫斯眼病。视神经病变是格雷夫斯病的一种并发症，对视敏度非常危险，治疗必须非常迅速。我们报告了在两名来自马提尼克岛（法属西印度群岛）的黑人患者中观察到的两例严重格雷夫斯眼病病例。在最初使用皮质类固醇治疗失败后且在进行手术减压之前，可以选择眼眶照射。这三种治疗方法可根据治疗结果联合使用，并且需要眼科医生、内分泌科医生和放疗科医生之间的真正协调以及患者本人的良好配合。
