Introduction: Techniques for the surgical treatment of thyroid related strabismusvary and include non-adjustable (standard), [postop'] adjustable suture, and a newer procedureaimed at correcting restriction rather than using dose/response tables. This study reports theresults utilizing standard strabismus procedures for the treatment of thyroid ophthalmopathy. Methods: Charts of 31 consecutive patients who underwent surgery in the past 5 yearsfor restrictive strabismus secondary to thyroid ophthalmopathy were retrospectively reviewed.All surgery was performed by recession and reattachment of the muscle to the globe, allowing for no postoperative adjustment. Standard doses were used for all primary surgery and slightly modified in some cases of reoperation, but the general principal was from a standard published nomogram (1). Results: All 31 patients had preoperative diplopia and restricted motility. 22 patientswore prisms prior to surgery. Of the 31 patients who underwent surgery 9 required a second operation. After reoperation 5 patients (16%) continued to have diplopia. However, 4 of these patients were able to achieve single binocular vision with a small amount of prism. Only 2 patients were unable to achieve single binocular vision with or without prism. 22 patients (71%)had full ocular motility after surgery. After one surgery, 25 of 31 patients (81%) were satisfied with the result of surgery. This increased to 29 patients (94%) after reoperation. Conclusion: The results of this study indicated that strabismus surgery for restrictivethyroid ophthalmopathy using standard technique and table amounts of surgery can provide excellent results and patient satisfaction.
|Number of pages||7|
|Journal||Binocular Vision and Strabismus Quarterly|
|Publication status||Published - 2009 Jun 1|
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