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Article
February 1960

Endocrine OphthalmoplegiaWith an Electromyographic Study of Paretic Extraocular Muscles

Author Affiliations

Iowa City
From the Departments of Ophthalmology and Neurology, State University of Iowa and the Sections of Ophthalmology and Neurology, Veterans Administration Hospital, Iowa City.

AMA Arch Ophthalmol. 1960;63(2):217-225. doi:10.1001/archopht.1960.00950020219003
Abstract

Introduction  The pathogenesis of the ophthalmoplegia occurring in certain endocrine disorders has been subject to debate since Brain first coined the term "exophthalmic ophthalmoplegia" in 1938.1 In his original description Brain1 stated that thyrotoxicosis plays no essential role in ophthalmoplegia. In fact, the presence of impaired ocular motility associated with endocrine exophthalmos was thought to be evidence sufficient to rule out Graves' disease. However, in a recent review2 of his last 50 cases of exophthalmic ophthalmoplegia he reported that 23 were thyrotoxic, 24 were euthyroid, and 3 hypothyroid. In all, 41 of the 50 either had had thyrotoxicosis or did have it at the time of examination.This paper is a report of observations relating to external ophthalmoplegia and exophthalmos where these conditions have been associated with thyrotoxicosis. In addition, the relationship of ophthalmoplegia to proptosis is noted in patients without thyrotoxicosis who were considered to have

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