Extraocular muscle surgery in dysthyroid orbitomyopathy: influence of previous conditions on surgical results.

J Pediatr Ophthalmol Strabismus

Department of Ophthalmology Cerrahpasa Faculty of Medicine, Istanbul, Turkey.

Published: October 2002

Purpose: To determine the influence of previous treatments other than the surgical treatment of restrictive myopathy resulting from dysthyroid orbitomyopathy.

Methods: The outcome of 23 cases with dysthyroid orbitomyopathy was evaluated after extraocular muscle surgery.

Results: It has been observed that the duration of the orbitomyopathy, severity of myopathy of the deviation angle, and the modality of treatment prior to surgery (radiotherapy and corticotherapy) did not influence surgical outcome. Binocular single vision was achieved in primary and reading positions in 14 of 23 cases (60.9%) after surgery while prisms were required to achieve the same result in 5 cases (21.7%).

Conclusion: It is concluded that previous treatment does not influence the results of extraocular muscle surgery in patients with dysthyroid orbitomyopathy.

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http://dx.doi.org/10.3928/0191-3913-20020301-06DOI Listing

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