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Radiation Therapy for Grave's Disease Ophthalmopathy: A Case Study

This session explores the treatment of Grave’s Disease, specifically Grave’s Ophthalmopathy (Thyroid Eye Disease), using Radiation Therapy. The autoimmune inflammatory disorder affects the eye orbit, leading to symptoms like double vision, bulging eyes, and eyelid retraction. A case study of a 45-year-old female with Bilateral Proptosis and other symptoms is discussed. After receiving Radiation Therapy, there are improvements in proptosis control, reduced tearing, improved eye movement, and persistent mild diplopia. The question remains: is Radiation Therapy beneficial for Grave's Disease Ophthalmopathy?

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Radiation Therapy for Grave's Disease Ophthalmopathy: A Case Study

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  1. Sat 31stAug 2013 Session 3/ CR2-1 13:36 – 13:40 HEAPHY 1 & 2 CASE RACE 2 – RT Anna RIDLEY WAIKATO / BAY OF PLENTY ABSTRACT An investigation into the treatment of Grave’s Disease using Radiation Therapy

  2. ‘Grave’s Ophthalmopathy(or Thyroid Eye Disease TED) ‘ an autoimmune inflammatory disorder affecting the orbit around the eye’ ‘ an autoimmune inflammatory disorder affecting the orbit around the eye’

  3. Signs & Symptoms Diplopia (Double vision) Proptosis (Bulging eyes) Upper eyelid retraction Swelling Conjunctivitis Redness Limited eye movement

  4. Cause

  5. Case Study • 45 year old female • BilatProptosis, watery eye, diplopia • Thyroidectomy 8yrs previous, on Thyroxine daily • Ex-smoker • Prednisone

  6. Radiation Therapy Recommended

  7. Parallel Opposed Pair20Gy/10#

  8. 5 Months later • Control of Proptosis • Slightly less tearing • Both eyes moving well • Mild diplopia has persisted

  9. Summary Beneficial or not?????

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