A Mild Grave's Ophthalmopathy During Pregnancy

作者：Abbouda Alessandro^*; Trimboli Pierpaolo; Bruscolini Alice

来源：Seminars in Ophthalmology, 2014, 29(1): 8-10.

DOI：10.3109/08820538.2013.833259

• Grave's disease
• Grave's Ophthalmopathy
• MRI
• pregnancy
• TRAb

Introduction: Thyroid ophthalmopathy is a complication most commonly associated with Grave's disease. The disease course ranges from mild to severe, with severe cases resulting in major visual impairment. Methods: A complete ophthalmic examination in a 35-year-old secundigravida to 14 weeks of gestation presented to the hospital for a routine ophthalmological examination with eyelid retraction in the right eye was made. We studied the course of ocular disease through the gestation with orbit ecography and a 3T MRI. Results: A diagnosis of Grave's Ophthalmopathy was made. Conclusion: This case presents an unusual course of the GD during pregnancy and a normal post-partum relapse, according to the Th1/Th2 balance. The frequent follow-up and the use of MRI allowed a prompt identification and complete control of the disease.

• 出版日期2014-1