Epidemiology of the Endocrine Orbitopathy

Czech version

Authors: J. Čmelo ¹; M. Chynoranský ²; J. Podoba ³; Z. Benejová ⁴; J. Blašková ¹; S. Ferková ²; B. Farkašová ¹; I. Kalafutová ⁴; K. Kramplová ¹; A. Lacková ⁴; D. Malacká ⁴; K. Mičevová ¹; S. Oláhová ¹; E. Petráková ¹; M. Podobová ⁴; D. Prokešová ⁴; M. Rybár ⁴; S. Ružináková ⁴; A. Smorádková ¹; J. Štekláč ³; T. Valášková ¹; I. Veres ⁴
Authors‘ workplace: Neštátna očná ambulancia, Bratislava, Považská Bystrica, Štúrovo ¹; Klinika oftalmológie LF UK, Bratislava prednosta prof. MUDr. Peter Strmeň, CSc. ²; Katedra endokrinológie SZU, Bratislava vedúci doc. MUDr. J. Podoba CSc. ³; Endokrinologická ambulancia, Bratislava. ⁴
Published in: Čes. a slov. Oftal., 62, 2006, No. 6, p. 373-380

Overview

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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Article was published in

Czech and Slovak Ophthalmology

2006 Issue 6