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[Ophthalmological signs in thyroid pathology: our experience]
S C Carlesimo1, S Abdolrahimzadeh, L Di Santo
1Dipartimento di Scienze Oftalmologiche, I Facoltà di Medicina e Chirurgia, Sapienza Università di Roma, Italia. sandracinzia.carlesimo@uniroma1.it
Thyroid dysfunction can cause seventeen distinct eye and eyelid signs. Recognizing these oculopalpebral signs aids ophthalmologists and endocrinologists in diagnosing and managing thyroid-related conditions.
Area of Science:
- Ophthalmology
- Endocrinology
- Thyroidology
Context:
- Thyroid dysfunction affects numerous patients, often presenting with subtle or overlooked oculopalpebral manifestations.
- Routine medical evaluations may not adequately identify the ocular signs associated with thyroid dysfunction.
Purpose:
- To document and highlight the spectrum of palpebral and ocular signs in patients diagnosed with thyroid dysfunction.
- To improve the recognition of these signs by ophthalmologists and endocrinologists for better patient management.
Summary:
- A study involving 100 patients with thyroid dysfunction (Basedow-Graves-Flajani syndrome, hypothyroidism, or thyroiditis) identified seventeen specific oculopalpebral signs.
- Observed signs included Dalrymple, Von Graefe, Rosenbach, and Moebius signs, among others, in both male and female patients.
Impact:
- Enhanced awareness of these oculopalpebral signs can improve diagnostic accuracy for thyroid dysfunction.
- Facilitates a multidisciplinary approach between ophthalmology and endocrinology for comprehensive patient care.
- Provides valuable clinical information for specialists managing thyroid-related eye conditions.
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