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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2000 June;13(3):187-90
Treatment of asymmetric upper eyelid retraction in Hashimoto thyroiditis
Colonna M. R., Quatra F., Vermiglio F.
Thyroid Associated Orbitopathy (TAO) is frequent in Graves' hyperthyroidism and several options have been reported for its treatment. TAO is less common in Hashimoto thyroiditis but it presents with similar features. Medical treatment of the thyroid disease and surgical treatment of upper eyelid retraction is described in a patient with Hashimoto thyroiditis and asymmetric upper eyelid retraction. Medical treatment included suppression of TSH-release with oral Levo-thyroxine and high doses of steroids. Surgical correction of the eyelid retraction was achieved by lengthening of Levator and Muller muscle under local anesthesia. TAO requires a staged, combined treatment, including drugs and surgery, in order to get satisfactory and long lasting results.