Surgical correction of strabismus in Graves ophthalmopathy-case report

Abstract

ABSTRACT The aim of the study is to evaluate long-term results of surgical treatment of strabismus and diplopia associated with Graves ophthalmopathy in the 40-year-old patient. The patient had preoperative diplopia and restricted mobility on the eyes. The patient was prescribed to wear Fresnel prisms prior to surgery. The patient achieved a single binocular vision without prisms after the operation. The muscles surgery of the both vertical recti on the right eye were performed by recession and reattachment of the muscle to the globe. On the left inferior rectus was performed recession with adjustment suture. Standard measures were used for the primary strabismus surgery of rectus inferior and rectus superior on the right eye, and adjustable suture surgery on the rectus inferior on the left eye. Adjustment of the sutures was done the day after the surgery. After two years of post-operative following, no need was observed for any subsequent operation. Conclusion: The operation of the restrictive thyroid ophthalmopathy using recessive standard technique combined with adjustable sutures can provide excellent post-operative results and patient satisfaction.