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Paresis of Superior Rectus Muscle: Associated With Thyroid Dysfunction

Paresis of Superior Rectus Muscle: Associated With Thyroid Dysfunction Abstract The eye signs of dysthyroid disease may conveniently be divided into two varieties—congestive and noncongestive.1 The congestive type of dysthyroid orbitopathy is characterized by decreased orbital resiliency, lid edema, chemosis, proptosis, visual impairment, and limitation of ocular motility. Although one or both eyes may be affected, in many instances the ocular signs may be minimal. The accompanying myopathy most commonly causes limitation of elevation or abduction. The weakness of upward gaze usually involves both elevators of the involved eye but there are patients who exhibit an isolated paresis of the superior rectus muscle.2,3 These individuals may have a paucity of other ocular and systemic signs of thyroid dysfunction so that the underlying cause of the ophthalmoplegia may be overlooked. It is the purpose of this paper to report four cases of paresis of the superior rectus muscle associated with thyroid dysfunction. Report of Cases Case 1. —A References 1. Cogan, D. G.: Neurology of Ocular Muscles , second ed, Springfield, Ill: Charles C Thomas, Publishers, 1956, pp 44-48. 2. Rundle, F. F., and Wilson, C. W.: Ophthalmoplegia in Graves' Disease , Clin Sci 5:17-29, 1944. 3. Brain, R.: Diagnosis, Prognosis and Treatment of Endocrine Exophthalmos , Trans Ophthal Soc UK 82:223-242, 1962. 4. Grob, D.: Myopathies and Their Relation to Thyroid Disease , New York J Med 63:218-228 ( (Jan) ) 1963. 5. Sorsby, A.: Systemic Ophthalmology , second ed, London: Butterworth, Ltd., 1958, pp 321-342. 6. Woods, A. C.: Ocular Changes of Primary Diffuse Toxic Goitre: Review , Medicine 25:113 ( (May) ) 1946.Crossref 7. Millikan, C. H., and Haines, S. F.: Thyroid Gland in Relation to Neuromuscular Disease , AMA Arch Intern Med 92:5, 1953.Crossref 8. McLean, J. M., and Norton, E. W. D.: Unilateral Lid Retraction Without Exophthalmos , AMA Arch Ophthal 61:681-686 ( (May) ) 1959.Crossref 9. Werner, S. C.: Euthyroid Patients With Early Eye Signs of Graves' Disease , Amer J Med 18: 608-612, 1955.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Paresis of Superior Rectus Muscle: Associated With Thyroid Dysfunction

Archives of Ophthalmology , Volume 72 (1) – Jul 1, 1964

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References (13)

Publisher
American Medical Association
Copyright
Copyright © 1964 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1964.00970020007003
Publisher site
See Article on Publisher Site

Abstract

Abstract The eye signs of dysthyroid disease may conveniently be divided into two varieties—congestive and noncongestive.1 The congestive type of dysthyroid orbitopathy is characterized by decreased orbital resiliency, lid edema, chemosis, proptosis, visual impairment, and limitation of ocular motility. Although one or both eyes may be affected, in many instances the ocular signs may be minimal. The accompanying myopathy most commonly causes limitation of elevation or abduction. The weakness of upward gaze usually involves both elevators of the involved eye but there are patients who exhibit an isolated paresis of the superior rectus muscle.2,3 These individuals may have a paucity of other ocular and systemic signs of thyroid dysfunction so that the underlying cause of the ophthalmoplegia may be overlooked. It is the purpose of this paper to report four cases of paresis of the superior rectus muscle associated with thyroid dysfunction. Report of Cases Case 1. —A References 1. Cogan, D. G.: Neurology of Ocular Muscles , second ed, Springfield, Ill: Charles C Thomas, Publishers, 1956, pp 44-48. 2. Rundle, F. F., and Wilson, C. W.: Ophthalmoplegia in Graves' Disease , Clin Sci 5:17-29, 1944. 3. Brain, R.: Diagnosis, Prognosis and Treatment of Endocrine Exophthalmos , Trans Ophthal Soc UK 82:223-242, 1962. 4. Grob, D.: Myopathies and Their Relation to Thyroid Disease , New York J Med 63:218-228 ( (Jan) ) 1963. 5. Sorsby, A.: Systemic Ophthalmology , second ed, London: Butterworth, Ltd., 1958, pp 321-342. 6. Woods, A. C.: Ocular Changes of Primary Diffuse Toxic Goitre: Review , Medicine 25:113 ( (May) ) 1946.Crossref 7. Millikan, C. H., and Haines, S. F.: Thyroid Gland in Relation to Neuromuscular Disease , AMA Arch Intern Med 92:5, 1953.Crossref 8. McLean, J. M., and Norton, E. W. D.: Unilateral Lid Retraction Without Exophthalmos , AMA Arch Ophthal 61:681-686 ( (May) ) 1959.Crossref 9. Werner, S. C.: Euthyroid Patients With Early Eye Signs of Graves' Disease , Amer J Med 18: 608-612, 1955.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1964

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