Solusyon para sa tiyak na paggamot ng thyroid nodules

eye disease
(Academic post )
Thyroid eye disease affects between 25-50% of patients with Graves' disease.

✅it is thought to be caused by an autoimmune response against an autoantigen, possibly the TSH receptor → retro-orbital inflammation
✅the inflammation results in glycosaminoglycan and collagen deposition in the muscles
Prevention
✅ smoking is the most important modifiable risk factor for the development of thyroid eye disease
✅ radioiodine treatment may increase the inflammatory symptoms seen in thyroid eye disease. In a recent study of patients with Graves' disease around 15% developed, or had worsening of, eye disease. Prednisolone may help reduce the risk

✅ the patient may be eu-, hypo- or hyperthyroid at the time of presentation
✅ exophthalmos
✅ conjunctival oedema
✅ optic disc swelling
✅ ophthalmoplegia
✅ inability to close the eyelids may lead to sore, dry eyes. If severe and untreated patients can be
at risk of exposure keratopathy

✅ topical lubricants may be needed to help prevent corneal inflammation caused by exposure ✅
steroids
✅ radiotherapy
✅ surgery
Monitoring patients with established thyroid eye disease
For patients with established thyroid eye disease the following symptoms/signs should indicate the need for urgent review by an ophthalmologist
✅ unexplained deterioration in vision
✅ awareness of change in intensity or quality of colour vision in one or both eyes
✅ history of eye suddenly 'popping out' (globe subluxation)
✅ obvious corneal opacity
✅ cornea still visible when the eyelids are closed
✅ disc swelling

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