Abstract

The authors discuss the behaviour of the eyeball motility and the thickness of the external eye muscles in patients with infiltrative ophthalmopathy. the observations covered 22 patients with Graves' disease, being in the state of euthyroidism. Prior to the beginning of therapy and directly after its termination, all patients were subjected to full clinical evaluation, computerized tomography as well as to examination of the range of eyeball movements. A restriction of all movements of the eyeballs was disclosed, the most serious handicap being recorded in the upward movement (6.5 mm), upward and external movement (8.2 mm), upward and internal (8.5 mm). the tomographic estimation revealed restriction of the straight muscles, inferior and superior, on the average by 3.5 mm, medial by 2.5 mm, and of the lateral straight muscles by 0.5 to 1 mm. Glucocorticoids and glucocorticoids together with imuran were used during the treatment. the therapy lasted from four to nine months. Just after the end of the therap...

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