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甲状腺眼病的临床概况,有或没有斜视:一项比较研究

Masoud Khorrami-Nejad^1,2, Mohammad Reza Akbari², Elham Azizi³

¹School of Rehabilitation, Tehran University of Medical Sciences, Tehran 1417935840, Iran.

International journal of ophthalmology

|November 24, 2025

概括

甲状腺眼病 (TED) 患有斜视的患者表现出较少的proptosis和眼收缩,但更多的异常头部姿势 (AHP). 认识到这些临床差异有助于对TED患者进行早期干预,这些患者有限制性偏视风险.

科学领域:

眼科医生眼科眼科
内分泌学在内分泌学.

背景情况:

甲状腺眼部疾病 (TED) 是一种影响视轨道的自身免疫性疾病.
偏是TED的常见并发症,影响患者的生活质量.
TED的临床特征可能会有很大的差异,影响管理策略.

研究的目的:

概述特异的临床特征,区分TED患者有或没有斜视.
为了确定可能预测TED患者眼的发展的关键特征.
为TED管理提供风险分层和有针对性的干预措施.

主要方法:

76名TED患者进行手术候选人评估的回顾性,单中心病例系列.
患者被分为两组:有眼的TED和没有眼的TED.
人口统计数据和全面眼科检查结果的比较分析.

主要成果:

与 (63.6%) 相比,没有眼的TED患者的眼收缩 (OR=4.1) 和proptosis (95.2%) 的患病率更高.
异常的头部姿势 (AHP) 存在于有斜视的TED患者的20%,但不在那些没有.
虽然视力威胁的并发症在非眼组中更频繁,但差异在统计学上并不显著.

结论:

在TED中,眼与减少proptosis和膜收缩有关,但增加了补偿性AHP的发生率.
这些临床区分对于识别TED患者具有较高的限制性偏视风险至关重要.
这些特征的早期识别可以指导风险分层和及时的治疗干预.

关键词:

盖子的收缩盖子的收缩预示性化预示性化这是一种眼 (strabismus).甲状腺眼睛疾病甲状腺眼睛疾病

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