Neuropatía óptica distiroidea como manifestación de orbitopatía de Graves / Dysthyroid optic neuropathy: report of one case
Rev. chil. endocrinol. diabetes
; 2(2): 98-101, abr. 2009. ilus, tab
Article
de Es
| LILACS
| ID: lil-612496
Bibliothèque responsable:
CL1.1
ABSTRACT
Dysthyroid optic neuropathy is an uncommon and severe form of presentation of Graves ophtalmopathy, caused by compression and elongation of the optic nerve. Use of high dose steroids is the treatment of choice. Decompressive surgery is reserved for refractory cases. We report a 41 years old female with a dysthyroid optic neuropathy that appeared 18 years after the diagnosis of Graves disease, manifested by a marked reduction in visual acuity. Orbit CAT scan did not show compression or elongation of optic nerve. She was treated with prednisone 60 mg per day, obtaining a complete remission after 19 days of treatment. After 90 days of follow up with low doses of steroids, the patient remains asymptomatic.
Mots clés
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Indice:
LILACS
Sujet Principal:
Atteintes du nerf optique
/
Ophtalmopathie basedowienne
Type d'étude:
Etiology_studies
Limites du sujet:
Adult
/
Female
/
Humans
langue:
Es
Texte intégral:
Rev. chil. endocrinol. diabetes
Thème du journal:
ENDOCRINOLOGIA
Année:
2009
Type:
Article