Epidemiology of the Endocrine Orbitopathy
Čmelo J.1, Chynoranský M.2, Podoba J.3, Benejová Z.4, Blašková J.1, Ferková S.2, Farkašová B.1, Kalafutová I.4, Kramplová K. 1, Lacková A.4, Malacká D.4, Mičevová K.1, Oláhová S.1, Petráková E.1, Podobová M.4, Prokešová D.4, Rybár M.4, Ružináková S.4, Smo rádková A.1, Štekláč J.3, Valášková T.1, Veres I.4
1Neštátna očná ambulancia, Bratislava, Považská Bystrica, Štúrovo 2Klinika oftalmológie LF UK, Bratislava, prednosta prof. MUDr. Peter Strmeň, CSc. 3Katedra endokrinológie SZU, Bratislava, vedúci doc. MUDr. J. Podoba CSc. 4Endokrinologická ambulancia, Bratislava. |
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Summary:
The goal of this paper was to evaluate epidemiological data of the endocrine
orbitopathy in a group of 126 patients (250 eyes) during the 5-years period
(1999–2004). The prevalence of endocrine orbitopathy was at the age 46.5 ± 11.4
years, predominantly in females: 5.3 times more often than in males. In most
cases (94 %) and independently on the sex, hyperthyroidism accompanied the endocrine orbitopathy. Hyperthyroidism mostly (91 %) preceded the
appearance of the endocrine orbitopathy. Most patients with endocrine
orbitopathy had eyelid signs (91 % females and 85 % males respectively),
protrusion or exophtalmos (77 % females, 75 % males). 69% patients (68 %
females, 70 % males) had elevated intraocular pressure (pseudoglaucoma,
primary glaucoma). During the active stage of the endocrine orbitopathy with
protrusion (52 % patients), pseudoglaucoma was detected in 7 % of patients.
During the inactive stage of the endocrine orbitopathy with protrusion (34 %
patients), pseudoglaucoma was detected in 4 % of patients. Primary glaucoma
was found in 2 % (active stage) and 1 % (inactive astage).
Key words:
endocrine orbitopathy, epidemiological data, protrusion,
intraocular pressure, pseudoglaucoma.
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