EXTRAOCULAR-MUSCLE PROBLEMS IN THYROID EYE DISEASE

被引：35

作者：

FELLS, P ^{[1
]}

KOUSOULIDES, L ^{[1
]}

PAPPA, A ^{[1
]}

MUNRO, P ^{[1
]}

LAWSON, J ^{[1
]}

机构：

[1] INST OPHTHALMOL,LONDON,ENGLAND

来源：

EYE | 1994年 / 8卷

关键词：

MUSCLES; SURGICAL CORRECTION; THYROID EYE DISEASE;

D O I：

10.1038/eye.1994.125

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

In this paper methods of visualisation of the extraocular muscle changes in thyroid eye disease are discussed. The histopathology of extraocular muscle biopsies has been studied by both light and electron microscopy to show the type of cellular infiltration and the amorphous material in the extracellular matrix. A series of questions to which answers have not yet been found concerning thyroid eye disease are posed which may help to direct new research projects. Finally in the last part of the paper, the surgical results in a series of 41 patients having ocular muscle surgery for diplopia and/or compensatory head postures due to thyroid eye disease are described. The conclusions drawn from these results are that one should maintain the patient euthyroid, establish by orthoptic measurements that the ocular movements have been stable for at least 6 months, treat by recessing tight muscles using adjustable sutures, and aim to undercorrect the vertical deviation at the time of adjustment.

引用

页码：497 / 505

页数：9

共 12 条

[1]

BAHN RS, 1993, NEW ENGL J MED, V329, P1468

[2]

BAHN RS, 1993, ENDOCRINE OPHTHALMOP, P47

[3] THYROID-ASSOCIATED EYE DISEASE - CLINICAL MANAGEMENT [J].

FELLS, P .

LANCET, 1991, 338 (8758) :29-32

[4]

Fells P, 1978, STRABISMUS, P375

[5]

Fells P, 1992, ORBIT, V11, P169

[6] BOTULINUM TOXIN THERAPY IN DYSTHYROID STRABISMUS [J].

LYONS, CJ ;

VICKERS, SF ;

LEE, JP .

EYE, 1990, 4 :538-540

[7]

OSSOINIG KC, 1984, EYE ORBIT THYROID DI, P185

[8]

PAPPA A, 1993, 21ST T M EUR STRAB A, P359

[9]

PAPPA A, 1992, 20TH T M EUR STRAB A, P365

[10]

SCHULER M, 1993, ENDOCRINE OPHTHALMOP, P58

← 1 2 →