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Graves' Ophthalmopathy in a Paediatric Population.

Y Sadeghi¹, A Obéric¹, G Theintz¹

¹Oculoplastic surgery unit, Jules Gonin Eye Hospital, University of Lausanne, Switzerland.

Klinische Monatsblatter Fur Augenheilkunde

|March 23, 2017

Summary

Graves

Area of Science:

Ophthalmology
Endocrinology
Paediatrics

Background:

Graves' disease is an autoimmune disorder causing hyperthyroidism.
Ophthalmic manifestations are common in Graves' disease.
Paediatric Graves' disease with eye involvement is considered rare.

Purpose of the Study:

To analyze the clinical characteristics and ophthalmic manifestations of Graves' ophthalmopathy in children.
To raise awareness among ophthalmologists regarding this rare paediatric condition.

Main Methods:

Retrospective analysis of paediatric patients diagnosed with Graves' ophthalmopathy between 2004 and 2015.
Inclusion criteria: patients under 18 years old with Graves' disease and ophthalmopathy.

Main Results:

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Eight paediatric patients (6 female, 2 male) were identified.
Common ophthalmic signs included proptosis, keratitis, eyelid retraction, and oculomotor dysfunction.
No severe complications like ocular hypertension or optic neuropathy were observed.

Conclusions:

Ophthalmic involvement in Graves' disease is infrequent in the paediatric population.
Early identification of thyroid dysfunction is crucial for managing paediatric Graves' ophthalmopathy.
Ophthalmologists should consider Graves' disease in children presenting with specific eye symptoms.