Long-term Results of Adjustable Suture Surgery for Strabismus Secondary to Thyroid Ophthalmopathy

Lueder, Gregg T.; Scott, William E.; Kutschke, Pamela J.; Keech, Ronald V.

doi:10.1016/s0161-6420(92)31866-4

Cited by 88 publications

(44 citation statements)

References 6 publications

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“…Treatment failures may be due to the fact that extraocular muscles of Graves' patients are taut and bleed excessively, postoperative scarring may be considerable, and eyelid swelling may make access to the operative field difficult (180). Eyelid retraction and exotropia may occur as a consequence of strabismus surgery (181). The technique of adjustable sutures might reduce the number of surgical procedures by allowing a postoperative fine tuning of muscle recession, avoiding large undercorrections and overcorrections (182).…”

Section: Extraocular Muscle Surgerymentioning

confidence: 99%

Management of Graves' Ophthalmopathy: Reality and Perspectives

Bartalena¹

2000

Endocrine Reviews

299

351

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Graves' ophthalmopathy is an debilitating disease impairing the quality of life of affected individuals. Despite recent progress in the understanding of its pathogenesis, treatment is often not satisfactory. In mild cases, local therapeutic measures (artificial tears and ointments, sunglasses, nocturnal taping of the eyes, prisms) can control symptoms and signs. In severe forms of the disease (3-5%), aggressive measures are required. If the disease is active, high-dose glucocorticoids and/or orbital radiotherapy, or orbital decompression represent the mainstay of treatment. If the disease is severe but inactive, orbital decompression is preferred. Novel treatments such as somatostatin analogs or intravenous immunoglobulins are under evaluation. Rehabilitative (extraocular muscle or eyelid) surgery is often needed after treatment and inactivation of eye disease. Correction of both hyper-and hypothyroidism is crucial for the ophthalmopathy. Antithyroid drugs and thyroidectomy do not influence the course of the ophthalmopathy, whereas radioiodine treatment may cause the progression of preexisting ophthalmopathy, especially in smokers. The exacerbation, however, is prevented by glucocorticoids. In addition, thyroid ablation may prove beneficial for the ophthalmopathy in view of the pathogenetic model relating eye disease to autoimmune reactions directed against antigens shared by the thyroid and the orbit.

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Section: Extraocular Muscle Surgerymentioning

confidence: 99%

Management of Graves' Ophthalmopathy: Reality and Perspectives

Bartalena¹

2000

Endocrine Reviews

299

351

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“…Forced duction testing and intraoperative relaxed muscle positioning may aid in determining how much recession to perform (Nguyen et al, 2002;Nicholson et al, 2011). The use of adjustable sutures for these patients allows for more accurate ocular alignment and single binocular vision outcomes for these difficult cases (Gardner & Kennerdell 1990;Lueder et al, 1992). In this study, we evaluated the effects of IRR in patients with TO on either adjustable or permanent sutures in comparison to control patients with adjustable sutures with the intention of quantifying postoperative drift and dose-response behaviors in TO patients compared to control subjects.…”

Section: Discussionmentioning

confidence: 99%

Postoperative drift in patients with thyroid ophthalmopathy undergoing unilateral inferior rectus muscle recession

Peragallo

Velez

Demer

et al. 2012

Journal of American Association for Pediatric Ophthalmology and

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“…Inferior rectus recession remains the first-line intervention for hypertropia in thyroid-related strabismus. 11 However, reoperation on a thyroid muscle may be increasingly technically difficult. This report shows that the inferior oblique, an elevator of the eye, may be weakened via recession with good success as a secondary procedure.…”

Section: Inferior Oblique Recession In Thyroid Related Orbitopathymentioning

confidence: 99%

The best of the best: a review of select pediatric ophthalmology and strabismus case reports published in 2015

Kemp

2016

Digit J Ophthalmol

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This review highlights 4 case reports in the field of pediatric ophthalmology and strabismus published in the year 2015. The first article describes ocular presentations of acute childhood leukemia relapse. The second demonstrates the association of sector iris hemangioma with diffuse choroidal hemangioma. The third article provides a secondary procedure for persistent hypertropia in thyroid-related orbitopathy, and the fourth article describes a treatment for cyclic esotropia with temporary use of prismatic correction.

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Long-term Results of Adjustable Suture Surgery for Strabismus Secondary to Thyroid Ophthalmopathy

Cited by 88 publications

References 6 publications

Management of Graves' Ophthalmopathy: Reality and Perspectives

Management of Graves' Ophthalmopathy: Reality and Perspectives

Postoperative drift in patients with thyroid ophthalmopathy undergoing unilateral inferior rectus muscle recession

The best of the best: a review of select pediatric ophthalmology and strabismus case reports published in 2015

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