DIAGNOSTIC-CRITERIA FOR GRAVES OPHTHALMOPATHY
DIAGNOSTIC-CRITERIA FOR GRAVES OPHTHALMOPATHY
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DOI：
10.1016/s0002-9394(14)72787-4
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发表时间：
1995-06-01
影响因子：
4.2
通讯作者：
GORMAN, CA
中科院分区：
文献类型：
--
作者：
BARTLEY, GB;GORMAN, CA
目得：提出Graves'ophthalmopathy.METHODS的诊断标准：我们回顾了描述Graves' ophthalmopathy的命名法的演变和在主要发表的reports.RESULTS中使用的诊断模式：Graves' ophthalmopathy的实验室检查或临床发现pathognonic目前是不可用的或公认的。现有的诊断标准可能会排除适当的cases.CONCLUSIONS：Graves'眼病被认为是目前，如果眼睑退缩发生与甲状腺功能障碍或异常调节，眼球突出，视神经功能障碍，或眼外肌受累的客观证据，眼科体征可能是单侧或双侧的，必须排除混淆的原因。如果没有眼睑退缩，那么只有当眼球突出、视神经受累或限制性眼外肌病与甲状腺功能障碍或异常调节有关，并且没有其他明显的眼科特征原因时，才可以诊断Graves眼病。
PURPOSE: To propose criteria for the diagnosis of Graves' ophthalmopathy.METHODS: We reviewed the evolution of nomenclature describing Graves' ophthalmopathy and the diagnostic schema used in key published reports.RESULTS: A laboratory test or clinical finding pathognomonic for Graves' ophthalmopathy currently is not available or recognized. Extant diagnostic criteria may exclude appropriate cases.CONCLUSIONS: Graves' ophthalmopathy is considered to be present if eyelid retraction occurs in association with objective evidence of thyroid dysfunction or abnormal regulation, exophthalmos, optic nerve dysfunction, or extraocular muscle involvement, The ophthalmic signs may be unilateral or bilateral, and confounding causes must be excluded. If eyelid retraction is absent, then Graves' ophthalmopathy may be diagnosed only if exophthalmos, optic nerve involvement, or restrictive extraocular myopathy is associated with thyroid dysfunction or abnormal regulation and if no other cause for the ophthalmic feature is apparent.