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Graves' ophthalmopathy after subtotal thyroidectomy and radioiodine therapy.
Fernández Sánchez, J R; Rosell Pradas, J; Carazo Martinez, O; Torres Vela, E; Escobar Jimenez, F; Garbin Fuentes, I; Vara Thorbeck, R.
Afiliación
  • Fernández Sánchez JR; Department of Surgery, University Hospital, Granada, Spain.
Br J Surg ; 80(9): 1134-6, 1993 Sep.
Article en En | MEDLINE | ID: mdl-8402112
Forty-five patients with Graves' ophthalmopathy were studied prospectively. Twenty-one patients (42 orbits; group 1) were treated surgically by subtotal thyroidectomy and 24 (48 orbits; group 2) received radioiodine therapy. All patients underwent tests of thyroid function, ophthalmological examination, and axial and coronal computed tomography before and 12 months after treatment. Patients in group 1 showed significant improvement in the Feldon score (P < 0.001), in proptosis as estimated by Hertel exophthalmometry (P < 0.001) and in proptosis (P < 0.001), maximum diameter of the medial rectus (P < 0.01), lateral rectus (P < 0.05), superior group (P < 0.05) and inferior rectus (P < 0.001) muscles as estimated by computed tomography. Patients in group 2 showed significant improvement only in the Feldon score (P < 0.05). The ophthalmopathy of Graves' disease improves to a greater extent after subtotal thyroidectomy than after radioiodine therapy.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de Graves Tipo de estudio: Observational_studies Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Br J Surg Año: 1993 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido
Buscar en Google
Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de Graves Tipo de estudio: Observational_studies Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Br J Surg Año: 1993 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido