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Torsional diplopia in Graves' orbitopathy. Three case reports.
S Vandelanotte1, L De Clippeleir, M Dieltiens
1Dept. of Ophthalmology, University Hospital St Rafaël, Kapucijnenvoer 33, 3000 Leuven.
Bulletin De La Societe Belge D'Ophtalmologie
|July 26, 2003
Summary
Torsional diplopia, a common but often unrecognized symptom of Graves' orbitopathy, can be masked by other eye deviations. Understanding its occurrence is crucial for effective patient management.
Area of Science:
- Ophthalmology
- Endocrinology
- Strabismus
Background:
- Graves' orbitopathy frequently involves torsional deviations.
- Torsional diplopia is a common yet often overlooked symptom in these patients.
Observation:
- Manifest cyclotorsion may not cause complaints if masked by significant vertical or horizontal strabismus.
- Torsional diplopia can manifest spontaneously or post-operatively following strabismus or orbital decompression surgery.
Findings:
- Case studies highlight the complex presentation of torsional deviations in Graves' orbitopathy.
- Literature review explores the pathogenesis of cyclodeviation within the context of this endocrine eye disease.
Implications:
- Increased awareness of torsional diplopia is needed for accurate diagnosis in Graves' orbitopathy.
- Understanding the mechanisms of cyclodeviation can improve surgical and non-surgical management strategies.
- This research aids in recognizing subtle visual disturbances impacting patient quality of life.