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Related Experiment Video

Updated: Jul 12, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

Rectus Muscle Resection for Vertical Strabismus in Thyroid Eye Disease.

Filofteia Tacea¹, Edward Loane², Andre Grixti²

¹a Ophthalmology Department , Leighton Hospital , Crewe , UK.

|February 28, 2018

Summary

Rectus muscle resection can effectively manage vertical strabismus in thyroid eye disease (TED) patients, reducing diplopia without worsening inflammation or restriction. This surgical approach offers a viable option for complex cases.

Keywords:

Diplopia resection thyroid eye disease vertical strabismus

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Area of Science:

Ophthalmology
Oculoplastics
Strabismus Surgery

Background:

Thyroid eye disease (TED) management typically avoids rectus muscle resection due to risks of increased restriction or inflammation.
However, significant vertical strabismus and diplopia in primary gaze may necessitate alternative surgical strategies beyond recession.

Purpose of the Study:

To evaluate the surgical experience and outcomes of rectus muscle resection in patients with vertical strabismus associated with TED.
To assess the efficacy and safety of this approach in eliminating diplopia.

Main Methods:

Retrospective review of eight TED patients who underwent vertical rectus muscle resection for vertical diplopia.
Surgical goals included eliminating diplopia in primary and reading positions.
Vertical deviations were measured pre-operatively and post-operatively using prism alternate cover testing.

Main Results:

Significant reduction in vertical deviation for both near and distance was observed post-surgery (p<0.05).
62.5% of patients achieved binocular single vision in primary and reading positions within four months.
No recurrence of inflammation or increased muscle restriction was noted.

Conclusions:

Vertical rectus muscle resection can be a safe and effective additional surgical option for managing vertical strabismus in TED patients.
This technique may be considered when other surgical interventions have not fully resolved diplopia.