视神经受压是甲状腺机能障碍的眼病之一种罕见的并发症。本病虽属自限性,但在静止前常进展至视力严重损失。患者可略有或无症状、伴极轻度眼球突出。对所有甲状腺机能障碍的眼疾患者,一般建议均应小心检查色觉,中心视力和周边视野以及相对的传入瞳孔缺损。我们认为对视神经受压病的治疗主要是施行手术。治疗结果是可以预见到且收效迅速,类固醇在近手术期可有好处,而且在制定手术计划期间可使病人渡过危险期。通常需用大剂量类固醇,但长期使用类固醇是不能接受的。必要时可用放疗做手术的补充。 Optic nerve compression is a rare complication of eye disease with thyroid dysfunction. Although the disease is self-limiting, but before the static often progress to severe visual loss. Patients may be slight or asymptomatic, with very mild eyeballs prominent. For all patients with ocular disorders of thyroid dysfunction, it is generally recommended that color vision, central vision and peripheral vision and relative afferent pupillary defects should be carefully examined. We believe that the treatment of optic nerve compression disease is mainly the implementation of surgery. The outcome of the treatment is predictable and rapid, and steroids can be beneficial during near-surgery and can lead patients through the critical stages of developing a surgical plan. Large doses of steroids are usually needed, but long-term use of steroids is unacceptable. Radiotherapy available if necessary surgery to add.