Intravenous Pulse Corticosteroid Therapy in Euthyroid Optic Neuropathy: A Case Report

被引：3
作者：
Lee, Yi-Ching [1 ]
Chang, Fang-Ling [1 ]
Tsai, Rong-Kung [1 ,2 ]
机构：
[1] Buddhist Tzu Chi Gen Hosp, Dept Ophthalmol, Hualien 970, Taiwan
[2] Tzu Chi Univ, Dept Ophthalmol & Visual Sci, Hualien 970, Taiwan
来源：
NEURO-OPHTHALMOLOGY | 2012年 / 36卷 / 04期
关键词：
Dysthyroid; Euthyroid; Graves ophthalmopathy; Optic neuropathy; GRAVES ORBITOPATHY EUGOGO; EUROPEAN GROUP; OPHTHALMOPATHY;
D O I：
10.3109/01658107.2012.688237
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Herein, the authors report an unusual case of euthyroid optic neuropathy without previous history of endocrinopathy. Visual loss and limitation of extraocular movements developed rapidly in both eyes. An orbital magnetic resonance imaging (MRI) revealed bilateral apical crowding and extraocular muscle hypertrophy with tendon sparing. The restricted visual fields dramatically improved after intravenous pulse corticosteroid therapy. Early diagnosis of euthyroid optic neuropathy and prompt treatment with pulse therapy may result in a favourable visual outcome.
引用
收藏
页码：143 / 145
页数：3
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