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OPHTHALMOLOGICAL IMPAIRMENT CAUSED BY CHANGES IN THE THYROID

Thyroid ophthalmopathy is a disease with orbital involvement, of an autoimmune nature, which is closely linked to hyperthyroidism, and may or may not be related concomitantly. The ophthalmological alteration may precede, coincide with or follow the onset of thyroid dysfunction, rarely occurring in euthyroid or hypothyroid patients. In cases of succession of thyroid dysfunction, the clinical manifestations take about a year to start. These manifestations occur in the extraocular muscles, which will suffer hyperemia and, consequently, will cause ophthalmoplegia and proptosis. In time, it is also worth mentioning the occurrence of eyelid retraction, periorbital edema and conjunctival hyperemia. In this disease, the congestion, hypertrophy and fibrosis of fat and surrounding muscles can affect the ophthalmic nerve, in which, in certain situations, there is partial or even total loss of vision.

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OPHTHALMOLOGICAL IMPAIRMENT CAUSED BY CHANGES IN THE THYROID

  • DOI: 10.22533/at.ed.1593422302064

  • Palavras-chave: Endocrinology. Imaging exams. Hyperthyroidism. Ophthalmology.

  • Keywords: Endocrinology. Imaging exams. Hyperthyroidism. Ophthalmology.

  • Abstract:

    Thyroid ophthalmopathy is a disease with orbital involvement, of an autoimmune nature, which is closely linked to hyperthyroidism, and may or may not be related concomitantly. The ophthalmological alteration may precede, coincide with or follow the onset of thyroid dysfunction, rarely occurring in euthyroid or hypothyroid patients. In cases of succession of thyroid dysfunction, the clinical manifestations take about a year to start. These manifestations occur in the extraocular muscles, which will suffer hyperemia and, consequently, will cause ophthalmoplegia and proptosis. In time, it is also worth mentioning the occurrence of eyelid retraction, periorbital edema and conjunctival hyperemia. In this disease, the congestion, hypertrophy and fibrosis of fat and surrounding muscles can affect the ophthalmic nerve, in which, in certain situations, there is partial or even total loss of vision.

  • Erik Bernardes Moreira Alves
  • Pedro Henryque Gonçalves Colombo
  • Beatriz Moreira Batista
  • Vitor De Franco Gomes Filgueira
  • Isabelle Lima e Silva
  • Matheus Cecílio Pena
  • Guilherme Silva e Sousa
  • Laura Vitória Menezes Santos
  • Angélica Any Sousa Caetano
  • Gabriella da Silva Barros
  • José Coelho da Silva Neto
  • Pedro Paulo de Faria Carneiro
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