| OCR Text |
Show Journal of Clil1lca! NeunHlphthalmo! ogy 12( 3): 166, 1992. Editorial Comment High Myopia Causing Bilateral Abduction Deficiency © 1992 Raven Press, Ltd., New York The preceding report by Aydin et al., describing two cases of high myopia associated with progressive esotropia and abduction deficiency, is an important addition to the neuro- ophthalmology literature. The late Philip Knapp described this condition some 15 years ago in a group of Jewish women patients whom he treated. I have had a number of patients ( though not Jewish) with a similar condition. All have been female. They develop thyroidlike tight medial rectus with progressive esotropia. The differential diagnosis from thyroid disease in those PTS is difficult. I have learned to be very cautious in prognosticating for them, as they have 166 a strong tendency to recur, following surgical correction and the like. This paper draws attention, in the neuroophthalmological community, to an entity with which pediatric ophthalmologists, on the whole, are familiar. There is no need for an extensive workup in these patients; a good office examination, forced ductions in the presence of high myopia, are all that is necessary to make the diagnosis. Surgical prognosis should be guarded. John T. Flynn, M. D, Miami, Florida |
