title: Lower lid retraction: a valuable finding in juvenile Graves' orbitopathy.
abstract: OBJECTIVE
  To evaluate the findings of juvenile Graves' orbitopathy.
  
  
  METHODS
  Retrospective evaluation of our patients with Graves' disease who are younger than 16 years.
  
  
  RESULTS
  Seventeen patients younger than 16 years were identified among 138 patients who were being treated for hyperthyroidism and goiter. Eleven (64.7%) of them had lid findings, orbital findings, or both and constituted 8.8% of the total of 125 such patients. Ophthalmic signs were common and were among the presenting signs in children with Graves' disease. Orbitopathy was mild and was more frequent in girls. Lower lid retraction and lag (ie, hesitation of the lower lids to follow upgaze) appeared to be constant and early findings.
  
  
  CONCLUSIONS
  Ophthalmologists and pediatricians should be aware of and look for lid signs in children presenting with related complaints and a history suggesting hyperthyroidism, goiter, or both.
authors.affiliation: Department of Neuro-Ophthalmology and Orbital Disease, Social Security Eye Hospital, Ankara, Turkey.
authors.forename: Golge
authors.initials: G
authors.lastname: Acaroglu
authors.forename: Ergun
authors.initials: E
authors.lastname: Cetinkaya
authors.forename: Dilek
authors.initials: D
authors.lastname: Ileri
authors.forename: Bayazit
authors.initials: B
authors.lastname: Ilhan
authors.forename: Cigdem
authors.initials: C
authors.lastname: Can
mesh_terms: D000293:Adolescent; D002648:Child; D005141:Eyelid Diseases / Q000175:diagnosis*; D005260:Female; D006111:Graves Disease / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009916:Orbital Diseases / Q000175:diagnosis; D012189:Retrospective Studies