Clinical analysis of Graves' opthalmopathy and ophthalmic Graves' disease.

Objective To comparison the differences between Graves' ophthalmopathy and ophthalmic Graves' disease,then to provide a method of clinical diagnosis.Methods Clinical Clinical analysis and comparison of 69 Cases of Graves' ophthalmopathy and 38 cases of ophthalmic Graves' disease.Resluts The resluts showed that both diseases had common ocular features of broomsymptom lid retraction,upper lid lag and exophthalmos.Graves' ophthalmopathy tended to be obvious symptoms,occured in binocular,exophthalmos with a longer courselater,but ophthalmic Graves disease patients were more of young people,most with no obvious symptoms,occured in one eye exophthalmos.Triiodothyronine,thyroxine and thyrotropin in patients of ophthalmic Graves' disease were usually in normal common level by laboratory examinations when in Graves' ophthalmopathy patients they were more higher.Conclusion We should give exact diagnosis on Grave's ophthalmopathy by laboratory examinations.Except for Hyperthyroidism,ophthalmic Graves' disease's diagnosis should give X ray and B ultrasonography on orbit to eliminate site occupancy.Clinical doctor should improve recognition on Graves' ophthalmopathy and ophthalmic Graves' disease,to reduce misdiagnosis and missed diagnosis.