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A Manifestation of Thyroid System Dysfunction

JOHN M. McLEAN, M.D.; EDWARD W. D. NORTON, M.D.

AMA Arch Ophthalmol. 1959;61(5):681-686.

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

The clinical picture of unilateral retraction of the upper lid of one eye without other ocular abnormalities is so characteristic that it is immediately recognized by the examiner once he is aware of the entity. In this type of lid retraction, the margin of one of the upper eyelids is elevated above the limbus so that a band of sclera is readily visible on forward gaze (Fig. 1A). This elevation of the lid decreases on upward gaze and becomes more apparent on downward gaze (Fig. 1B). In addition to the retraction of the lid margin, there is marked prominence of the lid fold on downward gaze (Fig. 1B). The position of the lower lid margin is usually unaffected but may be slightly elevated (Fig. 2). These changes in the lids have been described in detail by Pochin.^1-3

The aims of the present study were to determine . . . [Full Text PDF of this Article]

Author Affiliations
New York

From the Department of Surgery (Ophthalmology), The New York Hospital-Cornell Medical Center.

Footnotes
Submitted for publication June 26, 1958.

Presented at the 94th Annual Meeting of the American Ophthalmological Society, May 28, 1958.

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