Presence of thyroid-associated ophthalmopathy in Hashimoto’s thyroiditis
<b>AIM</b>:To determine the prevalence of ophthalmopathy in Hashimoto’s patients and to make a comparison in subgroups of patients<b>METHODS:</b>The study involved 110 Hashimoto’s thyroiditis patients and 50 control subjects attending to the endocrinology department of the ho...
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2014-08-01
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| Series: | International Journal of Ophthalmology |
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| Online Access: | http://www.ijo.cn/en_publish/2014/4/20140410.pdf |
| _version_ | 1811229635173679104 |
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| author | Emrah Kan Elif Kilic Kan Gülcin Ecemis Ramis Colak |
| author_facet | Emrah Kan Elif Kilic Kan Gülcin Ecemis Ramis Colak |
| author_sort | Emrah Kan |
| collection | DOAJ |
| description | <b>AIM</b>:To determine the prevalence of ophthalmopathy in Hashimoto’s patients and to make a comparison in subgroups of patients<b>METHODS:</b>The study involved 110 Hashimoto’s thyroiditis patients and 50 control subjects attending to the endocrinology department of the hospital. Subgroup classification of patientswas made as euthyroid, subclinic and clinic in Hashimato’s thyroiditis. All patients were evaluated by a single experienced ophthalmologist for the prevalence and characteristics of eye signs.<b>RESULTS:</b> The overall prevalences of eye changes were 22.7% (25 patients) in patients and 4% (2 persons) in control subjects respectively (<i>P=</i>0.002). In patients the most common symptom was retrobulbar eye pain with or without any eye movement. Thirteen patients had significant upper eyelid retraction (11.8%). Six patients had eye muscle dysfunction as reduced eye movements in up gaze. In control patients one person had proptosis and another had lid retraction. The clinical activity score and classification of the ophthalmopathy did not show any significant differences among subgroups.<b>CONCLUSION:</b>The eye signs were mostly mild (22.7%) and the most common eye sign was the presence of upper eyelid retraction (11.8%). Additionally six patients had eye muscle dysfunction as reduced eye movements in up gaze. Therefore we recommend to make a routine ophthalmic examination in Hashimoto’s thyroiditis patients in order not to omit the associated ophthalmopathy. |
| first_indexed | 2024-04-12T10:17:49Z |
| format | Article |
| id | doaj.art-3bf05913d1fb4a27b46e5d861f03939a |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-04-12T10:17:49Z |
| publishDate | 2014-08-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-3bf05913d1fb4a27b46e5d861f03939a2022-12-22T03:37:10ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982014-08-017464464710.3980/j.issn.2222-3959.2014.04.10Presence of thyroid-associated ophthalmopathy in Hashimoto’s thyroiditisEmrah Kan0Elif Kilic Kan1Gülcin Ecemis2Ramis Colak3Department of Ophthalmology, Samsun Training and Research Hospital, Samsun 55090, Turkey<br>Department of Endocrinology and Metabolism, Ondokuz Mayis University, Samsun 55139, Turkey<br>Department of Endocrinology and Metabolism, Şevgi Atasagun State Hospital, Nevşehir 50000, TurkeyDepartment of Endocrinology and Metabolism, Ondokuz Mayis University, Samsun 55139, Turkey<br><b>AIM</b>:To determine the prevalence of ophthalmopathy in Hashimoto’s patients and to make a comparison in subgroups of patients<b>METHODS:</b>The study involved 110 Hashimoto’s thyroiditis patients and 50 control subjects attending to the endocrinology department of the hospital. Subgroup classification of patientswas made as euthyroid, subclinic and clinic in Hashimato’s thyroiditis. All patients were evaluated by a single experienced ophthalmologist for the prevalence and characteristics of eye signs.<b>RESULTS:</b> The overall prevalences of eye changes were 22.7% (25 patients) in patients and 4% (2 persons) in control subjects respectively (<i>P=</i>0.002). In patients the most common symptom was retrobulbar eye pain with or without any eye movement. Thirteen patients had significant upper eyelid retraction (11.8%). Six patients had eye muscle dysfunction as reduced eye movements in up gaze. In control patients one person had proptosis and another had lid retraction. The clinical activity score and classification of the ophthalmopathy did not show any significant differences among subgroups.<b>CONCLUSION:</b>The eye signs were mostly mild (22.7%) and the most common eye sign was the presence of upper eyelid retraction (11.8%). Additionally six patients had eye muscle dysfunction as reduced eye movements in up gaze. Therefore we recommend to make a routine ophthalmic examination in Hashimoto’s thyroiditis patients in order not to omit the associated ophthalmopathy.http://www.ijo.cn/en_publish/2014/4/20140410.pdfGraves’ ophthalmopathyHashimoto’s thyroiditisupper eyelid retractionthyroid-associated ophthalmopathythyroid-associated ophthalmopathy |
| spellingShingle | Emrah Kan Elif Kilic Kan Gülcin Ecemis Ramis Colak Presence of thyroid-associated ophthalmopathy in Hashimoto’s thyroiditis International Journal of Ophthalmology Graves’ ophthalmopathy Hashimoto’s thyroiditis upper eyelid retraction thyroid-associated ophthalmopathy thyroid-associated ophthalmopathy |
| title | Presence of thyroid-associated ophthalmopathy in Hashimoto’s thyroiditis |
| title_full | Presence of thyroid-associated ophthalmopathy in Hashimoto’s thyroiditis |
| title_fullStr | Presence of thyroid-associated ophthalmopathy in Hashimoto’s thyroiditis |
| title_full_unstemmed | Presence of thyroid-associated ophthalmopathy in Hashimoto’s thyroiditis |
| title_short | Presence of thyroid-associated ophthalmopathy in Hashimoto’s thyroiditis |
| title_sort | presence of thyroid associated ophthalmopathy in hashimoto s thyroiditis |
| topic | Graves’ ophthalmopathy Hashimoto’s thyroiditis upper eyelid retraction thyroid-associated ophthalmopathy thyroid-associated ophthalmopathy |
| url | http://www.ijo.cn/en_publish/2014/4/20140410.pdf |
| work_keys_str_mv | AT emrahkan presenceofthyroidassociatedophthalmopathyinhashimotosthyroiditis AT elifkilickan presenceofthyroidassociatedophthalmopathyinhashimotosthyroiditis AT gulcinecemis presenceofthyroidassociatedophthalmopathyinhashimotosthyroiditis AT ramiscolak presenceofthyroidassociatedophthalmopathyinhashimotosthyroiditis |