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Dr Kushner's Unneeded Syndrome

Dr Kushner's Unneeded Syndrome Abstract To the Editor. —In the January 1988 issue of the Archives, Dr Kushner1 reported an interesting but atypical diplopia in a 73-year-old woman which he described as "an unusual case of acquired ocular muscle fibrosis after cataract surgery."While not anxious to deprive the medical world of the "Kushner syndrome," I am anxious to avoid this causative implication of cataract surgery and diplopia in a woman with enlarged ocular muscles and restriction of elevation that began "several weeks after surgery" and progressed "during the subsequent months."Until proved otherwise, this picture is most suggestive of euthyroid Graves' disease or "dysthyroid" orbital myopathy. Her age, signs, symptoms, laboratory results, computed tomographic scan, and clinical course were compatible with, and characteristic of, patients with this diagnosis. To suggest that such a multifocal, posterior orbital hypertrophic myopathy is due to a delayed response to the surgery or to local anesthesia is to References 1. Kushner BK: Ocular muscle fibrosis following cataract extraction . Arch Ophthalmol 1988;106:18-19.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Dr Kushner's Unneeded Syndrome

Archives of Ophthalmology , Volume 106 (9) – Sep 1, 1988

Dr Kushner's Unneeded Syndrome

Abstract

Abstract To the Editor. —In the January 1988 issue of the Archives, Dr Kushner1 reported an interesting but atypical diplopia in a 73-year-old woman which he described as "an unusual case of acquired ocular muscle fibrosis after cataract surgery."While not anxious to deprive the medical world of the "Kushner syndrome," I am anxious to avoid this causative implication of cataract surgery and diplopia in a woman with enlarged ocular muscles and restriction of elevation...
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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1988.01060140322003
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —In the January 1988 issue of the Archives, Dr Kushner1 reported an interesting but atypical diplopia in a 73-year-old woman which he described as "an unusual case of acquired ocular muscle fibrosis after cataract surgery."While not anxious to deprive the medical world of the "Kushner syndrome," I am anxious to avoid this causative implication of cataract surgery and diplopia in a woman with enlarged ocular muscles and restriction of elevation that began "several weeks after surgery" and progressed "during the subsequent months."Until proved otherwise, this picture is most suggestive of euthyroid Graves' disease or "dysthyroid" orbital myopathy. Her age, signs, symptoms, laboratory results, computed tomographic scan, and clinical course were compatible with, and characteristic of, patients with this diagnosis. To suggest that such a multifocal, posterior orbital hypertrophic myopathy is due to a delayed response to the surgery or to local anesthesia is to References 1. Kushner BK: Ocular muscle fibrosis following cataract extraction . Arch Ophthalmol 1988;106:18-19.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Sep 1, 1988

References