Dysthyroid Orbitopathy and Esotropia (Kennerdell Case 58, PPT)

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Identifier Kennerdell_case58_doae.ppt
Title Dysthyroid Orbitopathy and Esotropia (Kennerdell Case 58, PPT)
Creator John S. Kennerdell, MD, Chair, Department of Ophthalmology, Allegheny General Hospital Professor, Ophthalmology, Drexel University
Subject Orbit; Orbital disc; Entire inferior rectus; Thyroid-associated ophthalmopathy; Dysthyroid orbitopathy; Esotropia; Proptosis; Exophthalmos; Decompression, Surgical; Tomography, X-ray Computed; Excision; Radiotherapy; Steroid therapy; Thyroid Orbitopathy; Restriction Syndromes; Thyroid Eye Disease; Blow-Out Fracture
Presenting Symptom Acute swelling of the orbital tissues and loss of vision.
History A 44-year-old woman with known thyroid disease was referred with acute swelling of the orbital tissues and loss of vision. Her visual acuity was 20/50 in the right eye and 20/40 in the left eye.
Clinical Visual acuity was 20/50 in the right eye and 20/40 in the left eye. Hertel measurements were 22 right and 20 left with a base of 102. Minimal proptosis.
Neuroimaging The markedly enlarged inferior rectus with part of the compression and base in an axial view. Coronal view showing compression of the optic nerve in the apex of the orbit.
Anatomy Orbit; Orbital disc; Entire inferior rectus
Disease/Diagnosis Thyroid associated ophthalmopathy; Dysthyroid orbitopathy
Treatment The patient was treated with steroids to which she became dependent, but the left eye recovered good vision, whereas the right eye maintained decreased vision as the result of the apical compression. Patient underwent right orbital decompression of the medial and inferior walls, resulting in esotropia. She later underwent a right medial rectus resection to straighten the right eye.
Contributor Primary Kennerdell, John S.
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Type Image
Format application/pdf
Format Creation Scanned at 2700 ppi on Nikon LS2000 and Nikon 8000 film scanners
Source 35mm Kodachrome slide
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Contributing Institution Allegheny General Hospital. Dept. of Ophthalmology; Drexel University. Dept. of Ophthalmology
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E, SLC, UT 84112-5890
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Metadata Cataloger Ken Rockwell, Associate Librarian, Marriott Library, University of Utah
ARK ark:/87278/s6kh0q13
Setname ehsl_novel_jsk
Date Created 2008-01-11
Date Modified 2015-09-08
ID 180150
Reference URL https://collections.lib.utah.edu/ark:/87278/s6kh0q13
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