© 2002 British Journal of Ophthalmology
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Ophthalmologists are familiar with the vision threatening and ocular motility defects associated with thyroid orbitopathy. Although children are affected by hyperthyroid disease less frequently than adults, a study by Chan and co-workers from Hong Kong emphasises that they do develop some complications. However, the complications are mild indeed and comprise, primarily, conjunctival irritation, lid position change, and proptosis. In none of the 83 patients studied was vision threatened and none of the patients developed strabismus in primary gaze. It would be of interest to understand why hyperthyroid disease in children promotes such a relatively modest reaction in the orbit and eyes. See 740
Most visually impaired adult patients have some residual function and might therefore benefit from rehabilitation needs. A study by Culham and co-workers suggests that the current low vision services in the United Kingdom are inadequate. The authors suggest that over one million people in the UK might
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