Irradiation followed by muscle surgery for dysthyroid ophthalmopaphy with diplopia Satoko Nakajima 1,4 , Kosuke Ogasawara 2 , Akiko Asakura 1 , Toshiro Mori 1 , Masako Shibuya 1 , Hideo Kurihara 3 , Yutaka Tazawa 4 1Dept of Ophthalmol, Iwate Prefectural Central Hosp 2Ogasawara Eye Clinic 3Kurihara Thyroid Clinic 4Dept of Ophthalmol, Iwate Med Univ Sch of Med pp.1663-1666
Published Date 1995/10/15
DOI https://doi.org/10.11477/mf.1410904461
  • Abstract
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We obtained favorable therapeutic outcome in 12 cases of dysthyroid ophthalmopathy with diplopia. All the patients underwent Lineac irradiation to the retrobulbar tissue totalling 15 to 20 Gy over 10 days. Extraocular muscle surgery was performed 30 days after irradiation. Diplopia at the primary position almost disappeared one day after surgery. An additional surgery was necessary in one case. The interval between onset of diplopia and surgery averaged 6.1 months. Irradiation prior to muscle surgery appeared to be beneficial in allowing an early surgery and in avoiding surgical overcorrection.

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