Title |
Extreme Eyelid Swelling as an Unusual Presentation of Dysthyroid Orbitopathy |
Creator |
Rosen, CE; Kennerdell, JS |
Affiliation |
Department of Ophthalmology, Allegheny Ophthalmic and Orbital Associates, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA. |
Abstract |
We describe seven cases of dysthyroid orbitopathy initially seen as severe periocular lid swelling. Imaging techniques typically demonstrate normal extraocular muscles, although moderate muscle enlargement may occur. Patients do not respond to steroids, radiation therapy, antihistamines, or diuretics. We believe this clinical picture represents a unique population of dysthyroid orbitopathy patients who are best managed by long-term observation followed by cosmetic surgery. |
Subject |
Adult; Older people; Older people, 80 and over; Anti-Inflammatory Agents/therapeutic use; Blepharitis/diagnosis; Blepharitis/therapy; Eyelids/surgery; Female; Humans; Male; Middle Older people; Orbital Diseases/diagnosis; Orbital Diseases/therapy; Prednisolone/therapeutic use; Radiotherapy, Adjuvant; Surgery, Plastic; Thyroid Diseases/diagnosis; Thyroid Diseases/therapy; Tomography, X-Ray Computed; Visual Acuity |
Format |
application/pdf |
Publication Type |
Journal Article |
Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
Publisher |
Lippincott, Williams & Wilkins |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
© North American Neuro-Ophthalmology Society |
Setname |
ehsl_novel_jno |
ID |
224634 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6qc38kw/224634 |