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Change in proptosis following extraocular muscle surgery: effects of muscle recession in thyroid-associated orbitopathy.

Change in proptosis following extraocular muscle surgery: effects of muscle recession in thyroid-associated orbitopathy. Research Abstract Details 

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  • Change in proptosis following extraocular muscle surgery: effects of muscle recession in thyroid-associated orbitopathy. Abstract Text:

    cintia f gomiCintia F Gomi,suk-woo yangSuk-Woo Yang,david b granetDavid B Granet,don o kikkawaDon O Kikkawa,kathryn a langhamKathryn A Langham,lydia r banuelosLydia R Banuelos,leah leviLeah Levi,

    PURPOSE: To evaluate the effect of strabismus surgery on proptosis in patients with thyroid-associated orbitopathy. METHODS: The medical records of 22 consecutive patients with thyroid-associated orbitopathy undergoing strabismus surgery were reviewed. Data pertaining to the number of muscles operated on, amount of muscle recession, prior orbital decompression, and exophthalmometry were evaluated. RESULTS: Thirty-eight eyes in 22 patients with thyroid-associated orbitopathy were studied before and after strabismus surgery. The mean change in exophthalmometry following strabismus surgery in all eyes was +0.6 mm (p < 0.01). Eyes with prior decompression averaged a 0.9 mm increase following strabismus surgery (p < 0.01); those without decompression averaged a 0.2 mm decrease (p = 0.658). In eyes that underwent two rectus muscle recessions the increase in Hertel measurements averaged 1.2 mm; when only one muscle was recessed, the average increase was 0.2 mm. In the eyes with muscle recession < or =5 mm, the mean exophthalmometric increase was 0.7 mm. When a muscle recession of more than 5 mm was performed, the exophthalmometry showed a mean increase of 0.5 mm. CONCLUSIONS: Strabismus surgery on patients with thyroid-associated orbitopathy can worsen proptosis, especially in those with prior decompression. When planning for orbital decompression, the surgeon should consider this effect. Moreover, patients should be made aware of the possible changes to their appearance.

    Change in proptosis following extraocular muscle surgery: effects of muscle recession in thyroid-associated orbitopathy. Publishing Authors By Initials

    cf gomiCF Gomi,sw yangSW Yang,db granetDB Granet,do kikkawaDO Kikkawa,ka langhamKA Langham,lr banuelosLR Banuelos,l leviL Levi,

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    Change in proptosis following extraocular muscle surgery: effects of muscle recession in thyroid-associated orbitopathy. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Journal of AAPOS : the official publication of the

    VOLUME: 11

    Page Numbers: 377-80

    Journal Abbreviation:

    ISSN: 1091-8531

    DAY: 3

    MONTH: 04

    YEAR: 2007

    Change in proptosis following extraocular muscle surgery: effects of muscle recession in thyroid-associated orbitopathy. Information

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    LANGUAGE: eng

    NlmUniqueID: 9710011

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    Grant and Affiliation Information for Change in proptosis following extraocular muscle surgery: effects of muscle recession in thyroid-associated orbitopathy.

    AFFILIATION: UCSD/Ratner Children's Eye Center, University of California, San Diego, La Jolla, California, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: J AAPOS

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