Survey of Ophthalmology
Volume 44, Issue 5 , Pages 433-441, March 2000

Progressive Visual Loss and Ophthalmoplegia

  • Kenneth C Kubis, MD

      Affiliations

    • Neuro-Ophthalmology Service and, Thomas Jefferson University Hospital, Philadelphia, PA, USA USA
    • ,
  • Helen Danesh-Meyer, MD

      Affiliations

    • Neuro-Ophthalmology Service and, Thomas Jefferson University Hospital, Philadelphia, PA, USA USA
    • ,
  • Edmund A Pribitkin, MD

      Affiliations

    • Department of Otolaryngology Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA USA
    • ,
  • Jurij R Bilyk, MD

      Affiliations

    • Oculoplastic and Orbital Surgery Service, Wills Eye Hospital, and, Thomas Jefferson University Hospital, Philadelphia, PA, USA USA
    • Corresponding Author InformationReprints are not available

PETER SAVINO, EDITOR

Abstract 

A 51-year-old woman with hyperthyroidism presented with a 4-week history of bilateral progressive visual loss despite treatment with oral prednisone. Her visual function improved after bilateral orbital decompression. The indications for and advantages and disadvantages of radiation therapy and orbital decompression in TAO are discussed. The management of intraocular pressure, strabismus, and lid abnormalities in TAO is also addressed.

Keywords:  compressive optic neuropathy, Graves' disease, orbital decompression, orbital radiation therapy, prednisone, thyroid-associated ophthalmopathy

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PII: S0039-6257(99)00131-9

Survey of Ophthalmology
Volume 44, Issue 5 , Pages 433-441, March 2000

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