Author |
구인서(In Seo Ku),이정상(Jung Sang Lee),이경자(Kyung Ja Lee),최근출(Keun Chul Choi),안수벽(Soo Byuk Ahn),이창규(Chang Kyu Lee),이문호(Mun Ho Lee), |
Abstract |
742 cases of thyroid diseases treated at Radio-isotope Clinic, Seoul National University Hospital since October 1965 through July 1968 were analyzed. The patients were classified according to eye findings, as to Infiltrative, Non-infiltrative and No ophthalmopathy. Correlations between ophthalmo-logical findings and symptoms, BMR values and 131I uptake rate as well as response to medical treatment were carefully reviewed. Results obtained were as follows:1) Among goitrous patients 44.5% with infiltrative ophthalmopathy, 24.1% with non-infiltrative ophthalmopathy totaling 68.6% of patients with one or more eye findings were found. Exophthalmos (44%) and visual disturbances (44%) comprised the highest incidence among eye signs. Most frequent eye symptoms were lid swelling (17.1%). 2) Female patients were predominant (91%). 3) Of cases with hyperthyroidism, after treatment with antithyroid drugs and radio-iodine therapy, general symptoms were improved in over 74%, whereas ophthalmopathy was not changed and in some cases the eye signs were aggravated. This tendency was more apparent in infiltrative ophthalmopathy. 4) Significant correlations between exophthalmos, BMR values and 131I uptake rate were found. Among the patients of same degree of exophthalmos, BMR values and 131I uptake rate showed the highest in non-infiltrative ophthalmos, BMR values and 131I uptake rate showed the highest in non-infiltrative ophthalmopathy, moderate in infiltrative ophthalmopathy and the lowest in no ophthalmopathy.
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