RESUMO
The goal of this paper was to evaluate epidemiological data of the endocrine orbitopathy in a group of 126 patients (250 eyes) during the 5-years period (1999-2004). The prevalence of endocrine orbitopathy was at the age 46.5 +/- 11.4 years, predominantly in females: 5.3 times more often than in males. In most cases (94%) and independently on the sex, hyperthyroidism accompanied the endocrine orbitopathy. Hyperthyroidism mostly (91%) preceded the appearance of the endocrine orbitopathy. Most patients with endocrine orbitopathy had eyelid signs (91% females and 85% males respectively), protrusion or exophtalmos (77% females, 75% males). 69% patients (68% females, 70% males) had elevated intraocular pressure (pseudoglaucoma, primary glaucoma). During the active stage of the endocrine orbitopathy with protrusion (52% patients), pseudoglaucoma was detected in 7% of patients. During the inactive stage of the endocrine orbitopathy with protrusion (34% patients), pseudoglaucoma was detected in 4% of patients. Primary glaucoma was found in 2% (active stage) and 1% (inactive astage).
Assuntos
Oftalmopatia de Graves/epidemiologia , Adolescente , Adulto , Feminino , Oftalmopatia de Graves/diagnóstico , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Authors report of two case studies, of a man aged 39 and a woman aged 47, diagnosed and treated at Nove Zamky Infirmary Ophthalmology Ward with progressive essential iris atrophy of one eye. Based on the clinical examinations of pathogenesis authors concluded that progressive essential iris atrophy together with Chandler's syndrome and Iris-naevus syndrome represent a manifestation of pathological processes that include a corneal endothelial proliferation and dramatic iris changes. The term "primary proliferative endothelial degeneration" emphasises the pathogenic origin of corneal endothelial proliferation in all described cases. This is best described as ICE syndrome.