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WITH SPECIAL REFERENCE TO ALTERATIONS IN THE EXTRA-OCULAR MUSCLES AND THE OPTIC DISKS

HOWARD C. NAFFZIGER, M.D.

Arch Ophthal. 1933;9(1):1-12.

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

We have seen a number of patients suffering from progressive exophthalmos following thyroidectomy, in each of whom careful study revealed many findings of ophthalmologic interest.

For these patients a surgical treatment was devised which, in six instances, was highly satisfactory. In each, a similar mechanism for the exophthalmos was found, and the pathologic changes responsible for this disorder were proved.

The usual development of the condition is as follows: Thyroidectomy is performed on a patient with exophthalmic goiter who presents the usual elevated basal metabolic rate and cardiovascular and nervous manifestations. Clinical improvement follows, except that the exophthalmos does not disappear. In a variable period, often in three or four months, it becomes evident that the proptosis is increasing. As it proceeds an increased fulness of the lids is noted ; then lacrimation and epiphora appear. A watery appearance of the scleral conjunctiva is followed first by edema near . . . [Full Text PDF of this Article]

Author Affiliations
SAN FRANCISCO

From the Department of Surgery, Division of Neurosurgery, University of California Medical School.

Footnotes
Read before the American Ophthalmologic Society, New London, Conn., June 28, 1932.

A large part of the clinical work, investigation and research was possible through the untiring work of Dr. O. W. Jones, Jr.

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