JOURNAL COVER PAGE
 
 
 
 
VOLUME 7, ISSUE 1
January-March 2018
 
Abstract

To study the prevalance of thyroid eye signs in patients of thyrotoxicosis in a tertiary hospital in Western India

Devdatta J Gohel1, Atul M Kamath 2, Dhananjay Bhosale2, Binita N Gadhavi2, Samip A Mehta2, Prashansa Thakur2

1HOD &Professor, Department of Ophthalmology, Guru Gobind Singh Government Hospital, Jamnagar, Gujarat 2 final year resident, Department of Ophthalmology, Guru Gobind Singh Government Hospital, Jamnagar, Gujarat

ABSTRACT

BACKGROUND AND OBJECTIVES: Graves' disease is the most common autoimmune disease, representing majority of cases of hyperthyroidism. It occurs more commonly amongst women, smokers and patients with other autoimmune diseases or a family history of thyroid autoimmunity. To study the prevalance of thyroid eye signs in patients of thyrotoxicosis, to look for the most common thyroid eye signs associated with the disease and to look for correlation of eye signs and the duration of the disease. METHODS: A randomized retrospective comparative study was collected from 50 patients who were diagnosed with hyperthyroidism in the Outpatient department of our hospital during two year period after approval by ethical committee. RESULTS: 66% patients had hyperthyroid symptoms in our present study, with occurance in males and in females being 64% & 67% respectively. Among the symptoms occurring in hyperthyroidism, most common was palpitations with occurrence being 55%, followed by weight loss being 36%.Among the hyperthyroid signs, most common was warm skin having prevalence of 94%, followed by tremors having prevalence of 90% followed by lid lag having prevalence of 86%. the most common thyroid eye sign was Dalrymple sign comprising of 98%, followed by Enroth‘s sign comprising of 94%, followed by Stellwag‘s sign being 92%. CONCLUSION: Our study showed that not all patients suffering from hyperthyroidism necessarily have symptoms and signs of it suggesting that a regular annual check up of TFT along with noticing subtle changes in the body is essential to prevent one from hyperthyroidism.

Keywords: Graves' orbitopathy, Thyrotoxicosis, Hyperthyroidism.thyroid eye disease (TED), thyroid- associated ophthalmopathy (TAO)


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