Department of Ophthalmology, University Hospital Essen, Essen, Germany
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and symptoms are patient-specific and may include protruding eye balls (exophthalmos), facial disfigurement, double vision, retrobulbar pain and/or headache [ 3 ]. In rare cases, extrathyroidal manifestations like pretibial myxedema may develop. The
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appearance score (from 51 to 55, NS) after orbital decompression for dysthyroid optic neuropathy (DON); in contrast, after decompression for disfiguring exophthalmos, the change in visual functioning score was not significant (from 64.8 to 68.0, NS), whereas
Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
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Department of Ophthalmology, Salmaniya Medical Complex, Government Hospitals, Bahrain
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Department of Ophthalmology, Vicente Sotto Memorial Medical Center, Cebu City, Philippines
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Hong Kong Eye Hospital, Hong Kong Special Administrative Region, China
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Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
Hong Kong Eye Hospital, Hong Kong Special Administrative Region, China
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Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
Hong Kong Eye Hospital, Hong Kong Special Administrative Region, China
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failure to reach the midline (−4 to −1 for an excursion in 25% increments) ( 20 ). Exophthalmos was measured by the Hertel exophthalmometer ( 21 ). Eyelid positions were documented using margin reflex distance (MRD): MRD1 was defined as the distance
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the fibroadipose tissue and the infiltration (with an increased volume) of extraocular muscles in a rigid anatomic site like the orbit make clinical manifestations of GO (exophthalmos, extraocular muscle dysfunction, congestion of periorbital soft
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hyperthyroid. Her blood pressure was 130/70 mm Hg, and her pulse was regular at 88 bpm. Her height was 150 cm, body weight 46 kg, with a BMI of 20.4. She had a small, homogeneous and vascular goiter. Examination of her eyes showed mild bilateral exophthalmos
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[ 14 - 18 ], but patients may have constitutional or myopic exophthalmos that may not be distinguishable from GO exophthalmos. The issue of GO disappearance was investigated in two previous studies, but none of them considered disappearance of GO from
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negative impact on the quality of life of affected individuals ( 2 ) because of its disfiguring (exophthalmos) and dysfunctional (diplopia) features and can only partially be prevented by intervening to change modifiable risk factors ( 3 ). In the large
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and high rate of recurrence. A 53-year-old Chinese man was admitted to our hospital in December 2012 because he presented a 14-year history of uncontrolled hyperthyroidism. The exophthalmos and dermopathy were not observed. The patient does not
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approximately 6 months later due to further eye deterioration. Signed informed consent was obtained. At physical examination he had an exophthalmos in his right eye, with eyelid edema and chemosis, and diplopia in the upper and upper-right gaze (Fig. 1 ). The
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Multidisciplinary Thyroid Eye Consultation, Department of Endocrinology, Larrey University Hospital, Toulouse, France
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processes, IgG4-related orbitopathy (IgG4 = 0.67 g/L, normal range 0.03–1.31 g/L), orbital cellulitis, or metastases. Fig. 2. a Axial CT scan showing severe exophthalmos after nivolumab treatment, with severe proptosis of both orbits with fat