Treatment of dysthyroid myopathy with adjustable suture recession.
Extraocular muscle recessions with adjustable sutures were performed on 32 muscles for diplopia secondary to dysthyroid-myopathy. Orthophoria in the primary position was achieved in 30 of the 32 (94%) 1 day after surgery. All remained orthophoric for at least 6 weeks. Of 20 patients followed for 6 months or more, 12 (60%) remained orthophoric for the full extent of their follow-up (6 months to 8 years), and another three (15%) were asymptomatic with prisms (3, 4, and 8 prism diopters). Thus, a total of 15 of 20 (75%) patients remained asymptomatic at least 6 months after surgery.
Ophthalmology Department, Allegheny General Hospital, Pittsburgh, Pa.
T A
TA
Gardner
J S
JS
Kennerdell
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004172:Diplopia / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000209:etiology / Q000601:surgery*; D009801:Oculomotor Muscles / Q000601:surgery*; D011379:Prognosis; D013536:Suture Techniques; D013959:Thyroid Diseases / Q000150:complications / Q000601:surgery*