engleski

Evaluation of surgical treatment in disthyroid orbitopathy

Cilj istraživanja je ublažiti i smanjiti oftalmološke probleme, koji se javljaju kod bolesnika s oboljelom štitnjaćom. Bolesnici s izraženom proptozom jednog ili oba oka imaju brojne funkcionalne i estetske probleme. Odabirom pravog oblika liječenja provedenog u pravom trenutku , ove tegobe se mogu ublažiti ili potpuno nestati. Ovim istraživanjem biti će analizirani rezultati liječenja distiroidne orbitopatije različitim metodama u različitim stadijima bolesti. Cilj svih metoda liječenja je smanjiti simptome bolesnika na prednjem segmentu oka, protruziju, sekundarni glaukom, dvoslike, ispade vidnoga polja i poboljšati psihičko stanje bolesnika zbog dobrih estetskih postoperativnih rezultata. Bolesnici su prije uključivanja u ovu studiju bili kompletno oftalmološki pregledani : vidna oštrina, aplanaciona tonometrija, biomikroskopija i fundoskopija, egzooftalmometrija, test na dvoslike i ultrazvuk orbita. Kompjuterizirana tomografija orbita i paranasalnih učinjena je kod onih bolesnika i stupnjeva bolesti gdje je to bilo potrebno. Postoperativno će sve ove pretrage biti ponovljene, te će rezultati biti uspoređeni s preoperativnim nalazima. Evlauation of surgigal treatment in disthyroid orbitopathy Aim of the research is to alleviate and reduce ophthalmologic problems that appear in patients that have problems with thyroid gland. Patients with pronounced proptosis of one or both eyes suffer from numerous functional and aesthetic problems. Choice of proper treatment in right time can alleviate or completely eliminate these problems. This research will analyse results obtained by different methods of treatment in different stages of orbitopathy. The aim of all methods is to reduce symptoms on the front eye segment, protrusion, secondary glaucoma, diplopia, falling out of field of sight. It should improve patients’ mental condition due to good aesthetic post-operative results. Before being included in this study, patients will undergo complete ophthalmologic examination: sharpness of sight, aplanatic tonometry, biomicroscopy and fundoscopy, egzoophthalmometry, test for double vision and orbit ultrasound. Computed tomography of orbit and paranasal sinuses will be provided in those patients where it is necessary. All these tests will be repeated post-operatively and results will be compared to the pre-operative ones.

disthyroid orbitopathy

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