This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (46)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

THOMAS R. HEDGES, Jr., M.D.; HAROLD G. SCHEIE, M.D.

AMA Arch Ophthalmol. 1955;54(6):885-892.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

It is not widely recognized that exophthalmos associated with thyroid disease can be accompanied by visual loss due to involvement of the optic nerve. Loss of vision is used by many as an indication for surgical decompression of the orbit in patients with progressive exophthalmos. Through a better understanding of the factors responsible for such visual loss a more reasonable differentiation might be made between those patients who should have conservative therapy and those who should have, in addition, orbital decompression.

This report concerns six patients in whom defects could be demonstrated in central visual fields indicative of optic nerve involvement within the orbit similar to optic or retrobulbar neuritis. Three patients showed pericentral scotomas in one or both eyes, and in three patients nerve fiber bundle defects were present (Fig. 1, Cases 3, 4, and 6). Although the pathogenesis of such optic nerve defects associated with thyroid disease is . . . [Full Text PDF of this Article]

Author Affiliations
Philadelphia

From the Department of Ophthalmology, Hospital of the University of Pennsylvania.

Footnotes
Received for publication Oct. 11, 1955.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?