Early strabismus surgery for thyroid ophthalmopathy

Ophthalmology. 1999 Feb;106(2):324-9. doi: 10.1016/S0161-6420(99)90071-4.


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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Diplopia / etiology
  • Female
  • Graves Disease / complications
  • Graves Disease / surgery*
  • Humans
  • Hyperthyroidism / complications
  • Male
  • Middle Aged
  • Strabismus / etiology
  • Strabismus / surgery*
  • Treatment Outcome
  • Visual Acuity