اعتلال العين الدرقي النشط المتوسط إلى الشديد مع جحوظ أو ازدواج رؤية ملحوظ عند عدم تحقيق النتائج المستهدفة بالعلاج الخطّي الأول

References

doi: 10.1089/thy.2022.0251

1. Patients without sight-threatening disease whose eye disease has sufficient impact on daily life to justify the risks of medical or surgical intervention.
2. TEP is a preferred therapy, if available, in patients with active moderate-to-severe TED with significant proptosis (see Section 2.1. for definition) and/or diplopia.
3. The specific surgical approach should be tailored to the indication (DON, proptosis), type of orbitopathy (muscle or fat predominant congestive disease), and desired reduction in proptosis.
4. In patients with diplopia and inactive TED, binocular single vision in the primary position of gaze may be restored with strabismus surgery or permanent prisms ground into the spectacle lenses.
5. Approximately 2 mm of proptosis reduction may be expected for each wall removed or 2 cm³ of fat excision.