Early strabismus surgery for thyroid ophthalmopathy

David K. Coats, Evelyn A. Paysse, David Plager, David K. Wallace

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

Objective: To determine whether strabismus surgery during active thyroid ophthalmopathy is beneficial for selected patients. Design: Case series. Participants: Eight patients with severe restrictive strabismus due to thyroid ophthalmopathy underwent early strabismus surgery and were followed for a minimum of 16 months after their initial surgery. Intervention: All eight patients underwent strabismus surgery while their thyroid ophthalmopathy was evolving. Main Outcome Measures: Success was determined by the ability to fuse in the primary position at distance and near without an abnormal head position, and the absence of vision-threatening complications related to strabismus surgery. Results: All eight patients achieved successful long-term alignment. Four patients (50%) required more than one operation. Conclusions: Strabismus surgery during active thyroid ophthalmopathy can result in long-term stable alignment and may be a useful alternative in selected patients with marked disability due to thyroid ophthalmopathy.

Original languageEnglish
Pages (from-to)324-329
Number of pages6
JournalOphthalmology
Volume106
Issue number2
StatePublished - Feb 1 1999

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Strabismus
Thyroid Gland
Aptitude
Head
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Ophthalmology

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Early strabismus surgery for thyroid ophthalmopathy. / Coats, David K.; Paysse, Evelyn A.; Plager, David; Wallace, David K.

In: Ophthalmology, Vol. 106, No. 2, 01.02.1999, p. 324-329.

Research output: Contribution to journalArticle

Coats, DK, Paysse, EA, Plager, D & Wallace, DK 1999, 'Early strabismus surgery for thyroid ophthalmopathy', Ophthalmology, vol. 106, no. 2, pp. 324-329.
Coats, David K. ; Paysse, Evelyn A. ; Plager, David ; Wallace, David K. / Early strabismus surgery for thyroid ophthalmopathy. In: Ophthalmology. 1999 ; Vol. 106, No. 2. pp. 324-329.
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