Ocular manifestations of Graves' disease

ABSTRACT

The present study concluded that 60% of hyperthyroid patients examined showed ocular manifestations. The commonest signs of ocular manifestations of hyperthyroidism are Poor convergence [90%], extra-ocular muscle palsies [84%], upper lid retraction [50%] and exophthalmos [50%]. While the rarest ocular manifestations are Increased pigmentation of lids, jerky pupillary consensual light contraction [7%]. T3 estimation in the sera of the patients is more important than T4 estimation. As 77% of hyperthyroid patients with ocular manifestations showed increase in T3 above normal level. Ultrasonographic study is helpful to demonstrate extra-ocular muscles enlargement in patients with exophthalmos