J Korean Ophthalmol Soc > Volume 49(8); 2008 > Article
Journal of the Korean Ophthalmological Society 2008;49(8):1350-1355.
DOI: https://doi.org/10.3341/jkos.2008.49.8.1350    Published online August 15, 2008.
A Case of Remarkable Variation of Strabismic Angle in Thyroid Ophthalmopathy.
Yeon Hee Lee, Seon Jin Wang, Jeong Min Hwang
1Department of Ophthalmology, Chungnam National University College of Medicine, Daejeon, Korea.
2Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Gyeonggi, Korea. hjm@snu.ac.kr
갑상샘눈병증에서 심한 사시각변화를 보인 1예
이연희1ㆍ왕선진1ㆍ황정민2
Department of Ophthalmology, Chungnam National University College of Medicine1, Daejeon, Korea / Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital2, Gyeonggi, Korea
Abstract
PURPOSE
We report a patient with strabismus associated with thyroid ophthalmopathy whose condition changed remarkably for 6 years of a natural course. CASE SUMMARY: A 69-year-old woman with Graves' disease presented with diplopia in April 1999. On examination, she showed left hypotropia of 50 prism diopters (Delta) accompanied by supraduction limitation and lid lag in the left eye. She was diagnosed with strabismus associated with thyroid ophthalmopathy and was observed without any intervention. In October 2000, her left hypotropia decreased to 16Delta, and esotropia of 14Delta developed. Both eyes showed limitation of supraduction, and the left eye showed limitation of abduction. In December 2003, the esotropia increased to 35Delta, and the direction of vertical strabismus changed to 40Delta of right hypotropia. Supraduction limitation of the right eye and abduction restriction of both eyes increased, and infraduction limitation of the left eye developed. In April 2005, esotropia increased to 75Delta, and the amount of right hypotropia was 35Delta. The abduction limitation of both eyes increased. CONCLUSION: The natural course of strabismus associated with thyroid ophthalmopathy can show continuous and remarkable changes.
Key Words: Strabismus;Thyroid ophthalmopathy


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