KMID : 1038920160150020040
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Annals of Optometry and Contact Lens 2016 Volume.15 No. 2 p.40 ~ p.44
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Clinical Features and Prognosis of Pediatric Graves¡¯ Orbitopathy in Korea
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Kim Sung-Eun
Shin Ji-Young Sung Youn-Mi Baik Ji-Sun Yang Suk-Woo
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Abstract
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Purpose: To describe the clinical features and prognosis of pediatric Graves¡¯ orbitopathy in Korea and investigate the factors that are related to disease activity.
Methods: This is a retrospective study of 19 patients who were referred to our clinic and diagnosed with pediatric Graves¡¯ orbitopathy from March 2005 to August 2012. All patients were re-evaluated for at least 6 months and analyzed by Clinical Activity Score (CAS) and NOSPECS classifications.
Results: Most patients had mild findings consistent with Graves¡¯ orbitopathy. Proptosis was noted in 12 of 19 patients (63.2%). Lid retraction was present in 7 of 19 patients (36.8%). Extraocular muscle involvement was identified in only 1 of 19 patients (5.3%). No patients had corneal problem or optic neuropathy. Only conservative ophthalmic management was needed in most patients and aggressive treatment like orbital radiation therapy or surgery was never indicated.
Conclusions: The clinical manifestations of Graves¡¯ orbitopathy are relatively less severe in pediatric patients than in adults in whom prominent proptosis appears and Graves¡¯ orbitopathy?associated optic neuropathy is not rarely encountered. Most pediatric patients show mild ophthalmic symptoms and signs which easily resolve with conservative therapy.
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KEYWORD
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Graves disease, Graves ophthalmopathy, Pediatric
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