Original title: About 30% of hyperthyroid patients may have eye disease and “goldfish eye” to quickly check the thyroid
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Working overtime and staying up late for a long time, Mingyue, a 22-year-old girl, developed hyperthyroidism. During the treatment, Yueming found that his eyes were gradually protruding forward, which not only affected his appearance, but also seriously affected his eyesight. Thyroid-related eye disease.
“Thyroid-related eye disease is a disease in which abnormal thyroid function and eye lesions coexist.” Zhao Jingru, an ophthalmologist at Dongzhimen Hospital, Beijing University of Traditional Chinese Medicine, introduced that patients with hyperthyroidism have immune dysfunction, and there will be inflammatory reactions in orbital muscles, fat and other tissues, resulting in tissue edema , thickening, resulting in increased intraorbital pressure, resulting in ocular symptoms such as proptosis. Zhao Jingru explained that severe proptosis, intraorbital soft tissue edema, and increased orbital pressure may lead to conjunctival edema and hyperemia, unable to close the eyelids, exposure keratitis, corneal ulcers and even perforation. If the pressure is too high, it may lead to optic neuropathy, which will seriously affect the patient’s vision and field of vision. About 90% of patients with thyroid-related eye disease have hyperthyroidism, and the remainder may be euthyroid or hypothyroid. Eye disease may occur in regarding one third of patients with hyperthyroidism.
“Because the pathogenesis of the disease is not completely clear, some studies believe that the disease is an autoimmune or organ immune disease, and is closely related to the functional state of the systemic endocrine system.” Zhao Jingru said that the disease can be divided into systemic therapy in terms of treatment. In addition to eye treatment, systemic treatment should be carried out under the guidance of an endocrinologist. The purpose of eye treatment includes protecting visual function, controlling inflammation, and improving appearance.
Zhao Jingru said that in the early stage of thyroid-related eye disease, glucocorticoids can be used to suppress the inflammatory response; for those with corneal lesions caused by high exophthalmos and incomplete closure of the eyelids, antibiotic eye drops or eye ointments should be used in time, and the palpebral fissures may be closed if necessary; drug treatment is ineffective or Patients with contraindications can be treated with radiation therapy, and some patients can be treated with surgery.
In terms of preventing the recurrence of thyroid-related eye disease, Zhao Jingru suggested: strictly control thyroid function and maintain normal thyroid function; avoid eating spicy and irritating food, quit smoking, prevent eye fatigue, wear sunglasses when encountering strong light, and avoid emotional agitation; If the head is high and the palpebral fissure is not fully closed, eye ointment should be applied.
Proofreading Liu Baoqing
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