title: A mild Grave's ophthalmopathy during pregnancy.
abstract: BACKGROUND
  Thyroid ophthalmopathy is a complication most commonly associated with Grave's disease. The disease course ranges from mild to severe, with severe cases resulting in major visual impairment.
  
  
  METHODS
  A complete ophthalmic examination in a 35-year-old secundigravida to 14 weeks of gestation presented to the hospital for a routine ophthalmological examination with eyelid retraction in the right eye was made. We studied the course of ocular disease through the gestation with orbit ecography and a 3T MRI.
  
  
  RESULTS
  A diagnosis of Grave's Ophthalmopathy was made.
  
  
  CONCLUSIONS
  This case presents an unusual course of the GD during pregnancy and a normal post-partum relapse, according to the Th1/Th2 balance. The frequent follow-up and the use of MRI allowed a prompt identification and complete control of the disease.
authors.affiliation: Ocular Immunovirology Service, Department of Ophthalmology, Sapienza University of Rome , Rome , Italy and.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Abbouda
authors.forename: Pierpaolo
authors.initials: P
authors.lastname: Trimboli
authors.forename: Alice
authors.initials: A
authors.lastname: Bruscolini
mesh_terms: D000328:Adult; D003287:Contrast Media; D005094:Exophthalmos / Q000175:diagnosis* / Q000188:drug therapy; D005141:Eyelid Diseases / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005469:Fluorometholone / Q000627:therapeutic use; D019786:Gadolinium DTPA; D005865:Gestational Age; D005938:Glucocorticoids / Q000627:therapeutic use; D049970:Graves Ophthalmopathy / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D006980:Hyperthyroidism / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011248:Pregnancy Complications; D013960:Thyroid Function Tests; D013965:Thyroidectomy; D018615:Ultrasonography, Doppler, Color; D014792:Visual Acuity
chemical_list: D003287:Contrast Media; D005938:Glucocorticoids; D019786:Gadolinium DTPA; D005469:Fluorometholone