Document Detail

Upper eyelid retraction from inferior rectus restriction in dysthyroid orbit disease.
MedLine Citation:
PMID:  3827067     Owner:  NLM     Status:  MEDLINE    
Findings from orbital computed tomography scans have shown inflammatory enlargement of the levator palpebralis superioris complex to be a likely cause of eyelid retraction in dysthyroid (Graves's) ophthalmopathy. We have studied a subgroup of nine dysthyroid patients in whom the eyelid retraction occurs as a relative malposition of the globe and eyelid due to inferior rectus restriction. Our explanation of this phenomenon in nine patients is based on Hering's law. Increased innervation required for a fixating superior rectus muscle to overcome a severely restricted inferior rectus muscle causes an unrestricted levator muscle to open the eyelid abnormally wide relative to the globe. The retraction is best demonstrated with fixation of the involved eye. We have performed inferior rectus recession to correct this type of eyelid retraction in three of our patients.
R E Wesley; J B Bond
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Annals of ophthalmology     Volume:  19     ISSN:  0003-4886     ISO Abbreviation:  Ann Ophthalmol     Publication Date:  1987 Jan 
Date Detail:
Created Date:  1987-03-31     Completed Date:  1987-03-31     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0210137     Medline TA:  Ann Ophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  34-6, 40     Citation Subset:  IM    
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MeSH Terms
Exophthalmos / etiology
Eyelid Diseases / etiology*,  pathology,  surgery
Middle Aged
Oculomotor Muscles / physiopathology*,  surgery
Orbital Diseases / complications*,  physiopathology
Thyroid Diseases / complications*

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