Progressive visual loss and ophthalmoplegia.
A 51-year-old woman with hyperthyroidism presented with a 4-week history of bilateral progressive visual loss despite treatment with oral prednisone. Her visual function improved after bilateral orbital decompression. The indications for and advantages and disadvantages of radiation therapy and orbital decompression in TAO are discussed. The management of intraocular pressure, strabismus, and lid abnormalities in TAO is also addressed.
Kubis
K C
KC
Neuro-Ophthalmology Service, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Danesh-Meyer
H
H
Pribitkin
E A
EA
Bilyk
J R
JR
D001766:Blindness / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D019299:Decompression, Surgical; D018450:Disease Progression; D004724:Endoscopy; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006111:Graves Disease / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D009915:Orbit / Q000000981:diagnostic imaging / Q000601:surgery; D011241:Prednisone / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity; D058609:Visual Field Tests; D014794:Visual Fields
D005938:Glucocorticoids; D011241:Prednisone