Resection of Extraocular Muscles in Patients with Thyroid Eye Disease

In Thyroid Eye Disease (TED), the most common strabismus procedure performed is a recession of the tight extraocular muscle in order to lessen its force on the globe. Traditionally, there has been a concern that performing resections in these patients can cause further restriction and further ignite the inflammation, thus worsening the restrictive process. From a Neuro-ophthalmic perspective, there has been a concern that performing resections could cause a compressive optic neuropathy by applying pressure on the optic nerve in the orbital apex, We present two cases of patients with TED who underwent strabismus surgery involving resection of one or two muscles using the adjustable suture technique.