| Upper eyelid retraction from inferior rectus restriction in dysthyroid orbit disease. | |
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MedLine Citation:
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PMID: 3827067 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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R E Wesley; J B Bond |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Annals of ophthalmology Volume: 19 ISSN: 0003-4886 ISO Abbreviation: Ann Ophthalmol Publication Date: 1987 Jan |
Date Detail:
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Created Date: 1987-03-31 Completed Date: 1987-03-31 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0210137 Medline TA: Ann Ophthalmol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 34-6, 40 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Exophthalmos / etiology Eyelid Diseases / etiology*, pathology, surgery Female Humans Male Middle Aged Oculomotor Muscles / physiopathology*, surgery Orbital Diseases / complications*, physiopathology Thyroid Diseases / complications* |
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