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Is 6 months of stable angle of strabismus enough to perform surgery in patients with strabismus related to thyroid ophthalmopathy?
  1. Yeon-hee Lee1,
  2. Sei Yeol Oh2,
  3. Jeong-Min Hwang3
  1. 1Department of Ophthalmology, Chungnam National University Hospital, Daejeon, Korea
  2. 2Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
  3. 3Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Sungnam, Korea
  1. Correspondence to Dr Jeong-Min Hwang, Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 166, Gumiro, Bundang-gu, Seongnam, Gyeonggi-do 463-707, Korea; hjm{at}snu.ac.kr

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There is some debate as to whether strabismus surgery should be performed early or should be delayed 6–12 months after strabismus stabilisation in patients with thyroid-associated ophthalmopathy (TAO).1 2 Reoperations has been reported to be necessary because of changes in the angle of deviation, even though the surgery is done after a stable period of more than 6 months.3 4 Unfortunately, there has been no study concerning the natural course of strabismus related to TAO after 6 months of stability.

Patients and methods

Sixteen consecutive patients (six men and 10 women) who showed a stable angle of strabismus for 6 months and who were followed up for at least an additional 6 months were enrolled in this study. Patients were excluded if they had a history of other diseases or surgeries with the potential to influence eye motility or had …

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