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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:
- 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.
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