علاج اعتلال حجاج غريفز المهدد للبصر مع اعتلال العصب البصري الدرقي أو تهتك القرنية

References

DOI: 10.1530/EJE-21-0479

Patients with dysthyroid optic neuropathy and/or corneal breakdown.

Optic neuropathy should be treated immediately with high single doses of i.v. methylprednisolone (0.5–1 g of methylprednisolone daily for either three consecutive days or more preferably on every second day), and urgent orbital decompression should be performed if response is absent or poor within 1–2 weeks.

Sight-threatening GO: in this emergency condition, treatment of GO is an absolute priority; hyperthyroidism should be treated with ATDs until treatment of GO is completed.

When the response is absent or poor with a deterioration in visual acuity or visual fields, urgent orbital decompression surgery is mandatory.

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