Japanese

Local injection of triamcinolone acetonide was effective for palpebral edema in a case of thyroid ophthalmopathy Tomoko Shiba 1 , Hidenori Mito 1 , Atsushi Ide 1 , Kentaro Okushima 1 , Shunji Mano 1 , Atsushi Azumi 2 1Ide Eye Hosp 2Dept of Ophthalmol,Kobe Kaisei Hosp pp.1489-1492
Published Date 2011/9/15
DOI https://doi.org/10.11477/mf.1410103839
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Abstract. Purpose:To report a case of thyroid ophthalmopathy with palpebral edema that disappeared after local injection of triamcinolone acetonide. Case:A 54-year-old female presented with edema of the right upper eyelid since 3 months. Findings:Her right eye showed edema of the upper eyelid and positive sign of Graefe. Both eyes showed proptosis by 10 mm. She showed elevated serum level of thyrotropin receptor antibody,leading to the diagnosis of thyroid ophthalmopathy. She received subconjunctival injection of 40 mg triamcinolone acetonide in the upper fornix. Eyelid edema started to regress one week later. Palpebral sulcus became manifest after 2 months of injection. There has been no recurrence during 7 months until present. Conclusion:Local injection of triamcinolone acetonide was effective for palpebral edema as manifestation of thyroid ophthalmopathy.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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