甲亢突眼能治好吗

    Hyperthyroidism exophthalmos can cure? Hyperthyroidism exophthalmos is caused by hyperthyroidism an ocular lesions, and thyrotoxicosis are autoimmune diseases. At present the treatment of hyperthyroid exophthalmos with medicine, the rapid development of science and technology also had very great progress, can be said to 杭州甲亢医院有吗 hyperthyroid exophthalmos can be cured, the key is the correct choice of treatment method.

    Hyperthyroidism exophthalmos ( GO ) after the onset of 66% cases can be spontaneous remission, 20% eye syndrome without change, 14% eye syndrome continues to worsen. The treatment with exophthalmos of severity of illness.

    1 mild GO course is generally self-limited, does not require intensive treatment. In the treatment of localized and controlled hyperthyroidism mainly. ①photophobia: wearing a tainted glasses;②corneal foreign body sensation: artificial tears;③corneal protection: 甲状腺Night cover; the periorbital edema: elevate head of bed; the mild diplopia: prism correction; the mandatory smoking cessation; the effective control of hyperthyroidism is the basic treatment for hyperthyroidism or hypothyroidism, can promote the progress of GO, and thyroid function should be remained in the normal range;⑧inform patients of mild GO is stable, generally do not develop for moderate and severe GO.

    2 moderate and severe GO in the treatment of foundation strengthening treatment. Treatment depends on the degree of disease activity. In the period of activity of cases, treatment can be effective, such as recent onset inflammatory, extraocular muscle disorders. In contrast, for the long-term case, chronic proptosis, diplopia and stable treatment ineffective, often need to do Department of Ophthalmology rehabilitation operation correction. Optic nerve involvement is the most severe manifestation of this disease, can cause blindness, need intravenous corticosteroids and orbital decompression operation of emergency treatment.

    ( 1) the glucocorticoid: prednisone fractionated oral, lasted from 2 to 4 weeks. Then every 2～ 4 weeks reduction application. Glucocorticoid therapy should last 3 to 12 months. Intravenous administration of therapeutic effect is better than that of oral administration. But attention to existing methylprednisolone causes severe toxic liver damage and deaths, may be associated with drug related to the cumulative dose of corticosteroids, so the total dose 杭州甲亢治疗哪里好should not exceed 4.5～ 6.0g. Effect of early treatment significantly prompt the disease prognosis is good.

    ( 2) radiation therapy: indications and glucocorticoid treatment on basically the same. Effective in 60%, the soft tissue inflammation and the recent ocular dysfunction effect is good. Diabetic and hypertensive retinopathy is a contraindication. This therapy can be used alone or in combination with corticosteroid use. The United application can increase the curative effect.

    ( 3) orbital decompression operation: is resection of the orbital wall and ( or ) the ball after fibro-fatty tissue, increase in orbital volume. Indications:①optic neuropathy may result in loss of vision;②recurrent ocular subluxation leads to pull the optic nerve can cause vision loss;③severe proptosis caused corneal injury. Complications are operation may cause diplopia or aggravating diplopia.

    ( 4) control of hyperthyroidism: clinical studies have confirmed thyrotoxic radical treatment can improve the curative effect of GO. But to do radical treatment of hyperthyroidism ( (131 ) I or operation resection ), or the application of anti thyroid drug control is still unclear. In advanced GO patients in glucocorticoid protection on thyroid implementation (131 ) I treatment.

    Thyrotoxic exophthalmos treatment in 杭州甲亢医院在哪 clinic at present is the most used AMI gland immune reconstruction therapy [ ]. The treatment of hyperthyroid Graves'disease patients can improve blood leukopenia and thrombocytopenia, decreasing peripheral tissue responsiveness to thyroid hormone, can prevent and cure severe liver, kidney disease, true to the comprehensive treatment of. At the same time the therapy using also allows patients to avoid the treatment of hyperthyroidism caused by pain, and taking 131 iodine after treatment of the sequelae of harm, and later easy relapse, is currently the most novel and hyperthyroidism hyperthyroid exophthalmos treatment method.