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The appropriate treatment, if any, of thyroid ophthalmopathy has yet to be determined. Systemic corticosteroids may reduce manifestations of the disorder but significant adverse effects may result. In a multicentre prospective pilot study Ebner and coworkers present data to suggest that triamcinolone administered as a periocular injection is effective in reducing diplopia and the size of extraocular muscles in thyroid associated ophthalmopathy of recent onset. This form of treatment is not associated with systemic or ocular side effects.
See p 1380
The question of whether to implant intraocular lenses during cataract surgery in infancy remains controversial. Many paediatric ophthalmologists still use contact lenses as the standard for aphakic refractive correction. Lambert and coworkers report a non-randomised retrospective case series of 25 infants with unilateral congenital cataract who underwent cataract surgery. Optotype acuities were measured in these children and there was no difference in the visual outcome between those children corrected
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