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Robert H. Osher, MD; Norman J. Schatz, MD; Thomas D. Duane, MD

Arch Ophthalmol. 1980;98(10):1798-1802.

Abstract
• Four patients with infiltrative orbital disease involving an extraocular muscle demonstrated a characteristic retractionmotility pattern. The cardinal feature was retraction of the globe on attempted gaze opposite the field of action of the involved muscle. Variable eye movement limitation was present in the field of action and opposite to the field of action of the involved muscle. When motility was restricted, the forced-duction test was positive. Modest proptosis and episcleral vascular congestion over the extraocular muscle insertion were associated physical findings. Dysthyroid eye disease, inflammatory myositis, and neoplasms are among the infiltrative myopathies that may produce an acquired orbital retraction syndrome.

Author Affiliations
From the Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami (Fla) School of Medicine (Drs Osher), and the Wills Eye Hospital, Philadelphia (Drs Schatz and Duane).

Footnotes
Accepted for publication Dec 22, 1979.

Reprint requests to Bascom Palmer Eye Institute, 900 NW 17th St, Miami, FL 33152 (Dr Osher).

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