TY - JOUR
AU1 - MILLER, JAMES E.
AU2 - van HEUVEN, WICHARD
AU3 - WARD, ROBERT
AB - Abstract Introduction It has been recognized that pathologic changes occur in the extraocular muscles with alterations in thyroid function.1 These may produce hypertropias, cyclotropias, horizontal deviations, and limitations of upward gaze. The present report concerns seven patients with thyroid dysfunction and abnormalities of ocular movement resembling a superior rectus weakness. However, investigation indicated that fibrosis of the inferior rectus and adhesions between the inferior rectus and inferior oblique were the cause of the restriction. Marked improvement of elevation and of diplopia was obtained by dividing the adhesions and recessing the inferior rectus. It is the purpose of this report to present the clinical findings and surgical results obtained in these patients. Evaluation All patients had medical, orthoptic, and ophthalmological evaluations including the traction test for limitation of eye movement and electromyography of appropriate eye muscles. Traction Test. —The necessity of this simple atraumatic test was emphasized by Dunnington and Berke References 1. Naffziger, H.C.: Pathologic Changes in Orbit in Progressive Exophthalmos With Special Reference to Alterations in Extraocular Muscles and Optic Discs , Arch Ophthal 9:1, 1933.Crossref 2. Dunnington, J.H., and Berke, R.N.: Exophthalmos Due to Chronic Orbital Myositis , Arch Ophthal 30:446, 1943.Crossref 3. Miller, J.E.: Electromyographic Pattern of Saccadic Eye Movements , Amer J Ophthal 46:183, 1958. 4. Wigelius, O., et al: Retrobulbar Connective Tissue Changes in Malignant Exophthalmos , Acta Endocrinol 25:452, 1957. 5. Werner, S.C.: Euthyroid Patients With Early Eye Signs of Graves' Disease , Amer J Med 18:608, 1955.Crossref 6. Goldstein, J.E.: Paresis of Superior Rectus Muscle , Arch Ophthal 72:5, 1964.Crossref 7. Pimstone, B.L., et al: Parallel Assays of Thyrotrophin, Long-Acting Thyroid Stimulator and Exophthalmos-Producing Substance in Endocrine Exophthalmos and Pretibial Myxedema , J Clin Endocr 24:976, 1964.Crossref 8. Brain, W.R.: Exophthalmic Ophthalmoplegia , Quart J Med 7:293, 1938. 9. Miller, J.E.: Acquired Strabismus in Adults , Southern Med J 54:744, 1961.Crossref
TI - Surgical Correction of Hypotropias Associated With Thyroid Dysfunction
JF - Archives of Ophthalmology
DO - 10.1001/archopht.1965.00970040511012
DA - 1965-10-01
UR - https://www.deepdyve.com/lp/american-medical-association/surgical-correction-of-hypotropias-associated-with-thyroid-dysfunction-slrixSHmsF
SP - 509
EP - 515
VL - 74
IS - 4
DP - DeepDyve