title: Extreme eyelid swelling as an unusual presentation of dysthyroid orbitopathy.
abstract: We describe seven cases of dysthyroid orbitopathy initially seen as severe periocular lid swelling. Imaging techniques typically demonstrate normal extraocular muscles, although moderate muscle enlargement may occur. Patients do not respond to steroids, radiation therapy, antihistamines, or diuretics. We believe this clinical picture represents a unique population of dysthyroid orbitopathy patients who are best managed by long-term observation followed by cosmetic surgery.
authors.affiliation: Department of Ophthalmology, Allegheny Ophthalmic and Orbital Associates, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
authors.forename: C E
authors.initials: CE
authors.lastname: Rosen
authors.forename: J S
authors.initials: JS
authors.lastname: Kennerdell
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001762:Blepharitis / Q000175:diagnosis* / Q000628:therapy; D005143:Eyelids / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009916:Orbital Diseases / Q000175:diagnosis* / Q000628:therapy; D011239:Prednisolone / Q000627:therapeutic use; D018714:Radiotherapy, Adjuvant; D013518:Surgery, Plastic; D013959:Thyroid Diseases / Q000175:diagnosis* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone