title: Surgical outcomes of unilateral recession-resection for vertical strabismus in patients with thyroid eye disease.
abstract: To present the surgical outcomes of vertical muscle resection in patients with thyroid eye disease (TED).
  
  
  
  The medical records of 6 patients who underwent unilateral vertical muscle recession-resection to correct vertical strabismus in TED were reviewed retrospectively for postoperative angle of vertical deviation on days 1 and 7 and at months 1, 3, 6, and 12. Surgery was considered successful if the vertical deviation was ≤4Δ. Reoperation rates and complications were also noted.
  
  
  
  The mean preoperative angle of vertical deviation was 39.2Δ± 3.8Δ, and the mean final ocular deviation at 12 months postoperatively was 3.8Δ± 5.9Δ. There was significant reduction in postoperative vertical deviation (paired t test, P < 0.001). Surgery was successful in 4 patients (67%). There was neither unusual postoperative inflammation nor increased restriction of the resected muscle postoperatively in any patient.
  
  
  
  Based on careful assessment and appropriate patient selection, vertical muscle resection can be considered an effective option that provides satisfactory surgical outcomes with regard to vertical deviation correction in TED.
authors.affiliation: Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Ju-Yeun
authors.initials: JY
authors.lastname: Lee
authors.affiliation: Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Kyung-Ah
authors.initials: KA
authors.lastname: Park
authors.affiliation: Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Kyung In
authors.initials: KI
authors.lastname: Woo
authors.affiliation: Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Yoon-Duck
authors.initials: YD
authors.lastname: Kim
authors.affiliation: Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. Electronic address: syoh@skku.edu.
authors.forename: Sei Yeul
authors.initials: SY
authors.lastname: Oh
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D049970:Graves Ophthalmopathy / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000503:physiopathology / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures; D012029:Refraction, Ocular / Q000502:physiology; D012086:Reoperation; D012189:Retrospective Studies; D013285:Strabismus / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D015348:Vision, Binocular / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology