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Journal of Ophthalmology
Volume 2017, Article ID 4853905, 5 pages
https://doi.org/10.1155/2017/4853905
Research Article

The Influence of Juvenile Graves’ Ophthalmopathy on Graves’ Disease Course

Eye Clinic of Lithuanian University of Health Sciences, Kaunas, Lithuania

Correspondence should be addressed to Jurate Jankauskiene; moc.liamg@ksuaknaj.ruj

Received 2 May 2017; Revised 26 September 2017; Accepted 16 October 2017; Published 31 October 2017

Academic Editor: Neil Lagali

Copyright © 2017 Jurate Jankauskiene and Dalia Jarusaitiene. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To investigate juvenile Graves’ ophthalmopathy (GO) signs and compare Graves’ disease (GD) course in patients with or without GO. Patients and Methods. There were analyzed data (visual acuity, proptosis, palpebral fissure measurements, clinical activity score (CAS), and the course of GD) of 67 children who have been newly diagnosed with GD. 26.9% of patients with GD had signs of ophthalmopathy (GO+), and 73.1% were without ophthalmopathy (GO−). Results. Upper eyelid retraction (72.3%), proptosis (66.7%), and soft tissue changes (27.8−38.9%) were in GO+ patients. The palpebral fissure, CAS, and proptosis values were greater in the GO+ group than in the GO− group (). GD course in GO+ patients was longer than that in GO− patients (). The duration of the first remission was longer in GO− than in GO+ patients (). The duration of first remission was longer than one year for 61.2% in GO− and 33.3% in GO+ patients (). Conclusion. The common manifestations of juvenile GO patients were upper eyelid retraction, proptosis, and soft tissue involvement. The study demonstrates that pediatric patients with GO are more likely to have a severe course of autoimmune thyroid disease.