The treatment of exophthalmos? Dr. Liu from the Thyroid Department of the Hunan Provincial Armed Police Corps said that hyperthyroidism and thyroid-related eye disease are common complications of Graves' disease, also known as "hyperthyroidism and exophthalmos." There are multiple factors called "endocrine infiltrative exophthalmia", "endocrine exophthalmos", "infiltrative exophthalmos", "endocrine infiltrative exophthalmos", etc. It is due to periorbital cell infiltration, edema, Result of connective tissue hyperplasia. It mainly affects the extraocular muscles, lacrimal glands and retrobulbar fat. Exophthalmos may be present alone or with diffuse goiter, or may occur simultaneously with pretibial myxedema in one or three patients overall. Most hyperthyroidism and exophthalmos occur simultaneously with hyperthyroidism, but there are also some patients with hyperthyroidism who develop, aggravate or worsen their exophthalmos after relieving or curing their hyperthyroidism or developing hypothyroidism. As a result of treatment with western stazol, the condition improved, but the exophthalmos increased. Hyperthyroidism was cured by iodine 131, and even hypothyroidism was cured, but the exophthalmos worsened and even formed malignant exophthalmos. There are also some people who have hyperthyroidism and exophthalmos. Classification of hyperthyroidism and exophthalmos: 1. Benign exophthalmos. One type of ocular changes caused by hyperthyroidism is patients with benign exophthalmos with staring or frightened eyes.
2. Malignant exophthalmos. The other type is malignant exophthalmos, which transitions from benign exophthalmos. Patients with malignant exophthalmos often suffer from photophobia, tearing, diplopia, vision loss, eye pain, redness and swelling, foreign body sensation, etc. Because patients with hyperthyroidism with exophthalmos have normal thyroid function and are easily misdiagnosed, please pay attention to the following points when using diagnostic drugs: 1. Unilateral or bilateral eyelid retraction, no other cause can explain those 2. Single eye proptosis, or unilateral or bilateral eyelid retraction;
3. The eye muscles of both eyes are extruded, the eyelids are retracted, and the T3 suppression test is tested, but there is lack of suppression or partial suppression of thyroid hormone-releasing hormone stimulation test and no excitement.
4 Orbital CT scans show that it is characterized by consistent fusiform swelling of one or more extraocular muscles but normal tendons.