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JAMA Ophthalmology Clinical Challenge
February 2013

Intractable Graves Ophthalmopathy?—Diagnosis

Author Affiliations
 

SECTION EDITOR: BENNY H. JENG, MD

JAMA Ophthalmol. 2013;131(2):270. doi:10.1001/jamaophthalmol.2013.2264b

C.  Orbitotomy for lateral rectus biopsy.

Neither the history, clinical features (Figure 1), nor the physical examination or the radiographic findings (Figure 2) are consistent with thyroid-associated ophthalmopathy. An orbitotomy and biopsy of the lateral rectus muscle is indicated for histologic diagnosis.

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