Indian Journal of Clinical and Experimental Ophthalmology

Print ISSN: 2395-1443

Online ISSN: 2395-1451

CODEN : IJCEKF

Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is open access, a peer-reviewed medical journal, published quarterly, online, and in print, by the Innovative Education and Scientific Research Foundation (IESRF) since 2015. To fulfil our aim of rapid dissemination of knowledge, we publish articles ‘Ahead of Print’ on acceptance. In addition, the journal allows free access (Open Access) to its content, which is likely to attract more readers and citations of articles published in IJCEO. Manuscripts must be prepared in more...

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Jagriti Rana, S P. Singh, Mimansaa Agasti*


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Clinical signs of thyroid eye disease


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Author Details : Jagriti Rana, S P. Singh, Mimansaa Agasti*

Volume : 5, Issue : 1, Year : 2019

Article Page : 3-7

https://doi.org/10.18231/2395-1451.2019.0004



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Abstract

Thyroid Eye Disease (TED) or Thyroid Ophthalmopathy or Grave’s Ophthalmopathy is the single most common cause of bilateral proptosis in adulthood. It is associated with orbital involvement in 25-50% of patients and 5-10% of patients may develop serious complications like compressive optic neuropathy improved motility and inflammation.
The characteristic clinical signs may include a combination of eyelid signs, lid lag, globe lag, proptosis, restrictive extraocular myopathy and optic neuropathy. Werner’s classification is helpful in summarizing the clinical classification of Grave’s Ophthalmopathy.
Various diseases such as myasthenia gravis, orbital myositis, CPEO etc mimic thyroid eye disease and its important to know how they can be differentiated.
Finally blood investigations and imaging studies are very helpful in endorsing the clinical signs and help one arrive at the diagnosis.
Since various medical and surgical management is amenable to us, establishing the correct diagnosis of TED is extremely important. This disease may have sight threatening complications, if not diagnosed on time, therefore, it is important to know the clinical signs of TED. The management is conservative most of the times and a better understanding of the immunological pathogenesis may propel the medical management of the disease in a different direction.

Keywords: Proptosis, Rrestrictive myopathy, Thyroid ophthalmopathy.


How to cite : Rana J , Singh S P, Agasti M, Clinical signs of thyroid eye disease. Indian J Clin Exp Ophthalmol 2019;5(1):3-7

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