Thyroid-Associated Orbitopathy with Superior Oblique Muscle Involvement: A Case Report

A 29-year-old male with a 5-year-history of hyperthyroidism complained of diplopia and proptosis. After subtotal thyroidectomy, he still had diplopia in a certain gaze. Computerized tomography showed inferior rectus muscle enlargement in the right eye and inferior rectus, medial rectus, and superior...

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Main Author: Horng-Jiun Wu
Format: Article
Language:English
Published: Wiley 2004-02-01
Series:Kaohsiung Journal of Medical Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1607551X09700907
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spelling doaj-9c10afcb8c0344829c1ecc2bac176abc2020-11-25T01:37:49ZengWileyKaohsiung Journal of Medical Sciences1607-551X2004-02-01202868810.1016/S1607-551X(09)70090-7Thyroid-Associated Orbitopathy with Superior Oblique Muscle Involvement: A Case ReportHorng-Jiun WuA 29-year-old male with a 5-year-history of hyperthyroidism complained of diplopia and proptosis. After subtotal thyroidectomy, he still had diplopia in a certain gaze. Computerized tomography showed inferior rectus muscle enlargement in the right eye and inferior rectus, medial rectus, and superior oblique muscle enlargement in the left eye. Ocular examination with the cover and uncover test revealed hyperphoria and exophoria in the left eye. The upward gaze of the right eye was more limited than that of the left eye. Since superior oblique muscle involvement in patients with thyroid orbitopathy is quite rare, we discuss its effect on ocular motility in patients with thyroid-associated orbitopathy.http://www.sciencedirect.com/science/article/pii/S1607551X09700907superior oblique musclethyroid-associated orbitopathy
collection DOAJ
language English
format Article
sources DOAJ
author Horng-Jiun Wu
spellingShingle Horng-Jiun Wu
Thyroid-Associated Orbitopathy with Superior Oblique Muscle Involvement: A Case Report
Kaohsiung Journal of Medical Sciences
superior oblique muscle
thyroid-associated orbitopathy
author_facet Horng-Jiun Wu
author_sort Horng-Jiun Wu
title Thyroid-Associated Orbitopathy with Superior Oblique Muscle Involvement: A Case Report
title_short Thyroid-Associated Orbitopathy with Superior Oblique Muscle Involvement: A Case Report
title_full Thyroid-Associated Orbitopathy with Superior Oblique Muscle Involvement: A Case Report
title_fullStr Thyroid-Associated Orbitopathy with Superior Oblique Muscle Involvement: A Case Report
title_full_unstemmed Thyroid-Associated Orbitopathy with Superior Oblique Muscle Involvement: A Case Report
title_sort thyroid-associated orbitopathy with superior oblique muscle involvement: a case report
publisher Wiley
series Kaohsiung Journal of Medical Sciences
issn 1607-551X
publishDate 2004-02-01
description A 29-year-old male with a 5-year-history of hyperthyroidism complained of diplopia and proptosis. After subtotal thyroidectomy, he still had diplopia in a certain gaze. Computerized tomography showed inferior rectus muscle enlargement in the right eye and inferior rectus, medial rectus, and superior oblique muscle enlargement in the left eye. Ocular examination with the cover and uncover test revealed hyperphoria and exophoria in the left eye. The upward gaze of the right eye was more limited than that of the left eye. Since superior oblique muscle involvement in patients with thyroid orbitopathy is quite rare, we discuss its effect on ocular motility in patients with thyroid-associated orbitopathy.
topic superior oblique muscle
thyroid-associated orbitopathy
url http://www.sciencedirect.com/science/article/pii/S1607551X09700907
work_keys_str_mv AT horngjiunwu thyroidassociatedorbitopathywithsuperiorobliquemuscleinvolvementacasereport
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