Double Vision in a Patient with Thyroid Disease: What's the Big Deal?

Celia S. Chen; Andrew W. Lee; Neil R. Miller; Andrew G. Lee

doi:10.1016/j.survophthal.2007.04.005

Double Vision in a Patient with Thyroid Disease: What's the Big Deal?

Celia S. Chen, Andrew W. Lee, Neil R. Miller, Andrew G. Lee

School of Medicine

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

A 70-year-old woman with a 46-year history of Graves disease had significant thyroid related orbitopathy (TRO) requiring previous bilateral orbital decompressions and one previous strabismus procedure for an exotropia of 60 PD. At the initial neuro-ophthalmology assessment, she had an exotropia of 20 PD and was scheduled for further surgery, but at the time of a second assessment a few weeks later, her strabismus had markedly changed. Accordingly, the patient underwent a neostigmine bromide test that demonstrated evidence of co-existing myasthenia gravis.

Original language	English (US)
Pages (from-to)	434-439
Number of pages	6
Journal	Survey of ophthalmology
Volume	52
Issue number	4
DOIs	https://doi.org/10.1016/j.survophthal.2007.04.005
State	Published - Jul 1 2007

Keywords

Graves disease
diplopia
exotropia
myasthenia gravis (MG)
strabismus
thyroid-related orbitopathy

ASJC Scopus subject areas

Ophthalmology

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10.1016/j.survophthal.2007.04.005

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title = "Double Vision in a Patient with Thyroid Disease: What's the Big Deal?",

abstract = "A 70-year-old woman with a 46-year history of Graves disease had significant thyroid related orbitopathy (TRO) requiring previous bilateral orbital decompressions and one previous strabismus procedure for an exotropia of 60 PD. At the initial neuro-ophthalmology assessment, she had an exotropia of 20 PD and was scheduled for further surgery, but at the time of a second assessment a few weeks later, her strabismus had markedly changed. Accordingly, the patient underwent a neostigmine bromide test that demonstrated evidence of co-existing myasthenia gravis.",

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AU - Chen, Celia S.

AU - Lee, Andrew W.

AU - Miller, Neil R.

AU - Lee, Andrew G.

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AB - A 70-year-old woman with a 46-year history of Graves disease had significant thyroid related orbitopathy (TRO) requiring previous bilateral orbital decompressions and one previous strabismus procedure for an exotropia of 60 PD. At the initial neuro-ophthalmology assessment, she had an exotropia of 20 PD and was scheduled for further surgery, but at the time of a second assessment a few weeks later, her strabismus had markedly changed. Accordingly, the patient underwent a neostigmine bromide test that demonstrated evidence of co-existing myasthenia gravis.

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KW - diplopia

KW - exotropia

KW - myasthenia gravis (MG)

KW - strabismus

KW - thyroid-related orbitopathy

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Double Vision in a Patient with Thyroid Disease: What's the Big Deal?

Abstract

Keywords

ASJC Scopus subject areas

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