Complications Following Surgery for Thyroid Ophthalmopathy

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Abstract
A marked reaction postoperatively was noted following strabismus surgery for thyroid ophthalmopathy. Preoperatively, the right eye was noted to have a small amount of lower nasal conjunctival injection and chemosis while the left eye was quiet. Only the right eye had the severe inflammatory reaction postoperatively, while the left eye responded normally. The findings included marked proptosis, chemosis, subconjunctival hemorrhage, corneal exposure and drying with a sterile ring infiltrate, corneal thinning and vascularization, and ocular immobility. The treatment and course of these complications is described. It is suggested that muscle surgery be deferred in patients with thyroid ophthalmopathy when there are signs of continued inflammation.

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