Dr.Romi Singh
AIM: To study clinical features of patients with thyroid ophthalmopathy(TO). METHODS:Retrospective study of patients presenting at our hospital with TO. Demographic& clinical features was noted. Managed medically and surgically. Data entry and analysis was performed.RESULTS:Among all 24 patients were bilateral having age 39.50(±12.82) years.16(66.7%) M & 8(33.3%)F.75% were from Hindu & 31-35 years had highest incidence of 6(25%). Almost 42 % had BCVA 6/6 & two (9%) nil VA.67% had dysthyroidemia. Among all 75% needed medical management. (25%) lagopthalmos, (33.5%) lid retraction&(30%) had no features. 20(82.7%) had proptosis, exposure keratitis in 8.3%, corneal opacity in 12.5%, EOM involved in (21%). 75% needed no intervention but 16.7% needed tarsorrhaphy, 4.2 % underwent evisceration with ball implant. Outcome was good in 96%, and fair in 4.2%.CONCLUSION: Lid retraction with lag was the commonest presentation & mostly managed with medical care proptosis is most common orbital ailment
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