To the Editor.
—The editorial entitled "Graves' Ophthalmopathy," by Joel S. Glaser, MD, in the October issue of the Archives1 raises some important questions regarding orbital irradiation but, unfortunately, presents authoritative-sounding answers that are only the author's opinion.Among the questions he raises are the following: "Is a lesser degree of diplopia a worthwhile objective? Has orbital irradiation ever succeeded in curing the incomitant [noncomitant] diplopia caused by the restrictive myopathy of Graves' ophthalmopathy?" Let me present a case that provides a different answer than Dr Glaser's.
Report of a Case.
—In April 1982,I saw a 36-year-old woman who was developing restriction in her right superior rectus and right levator muscles. In three months, she had gone from being orthophoric in primary gaze and having 3 Δ of right hypertropia in downgaze at 3 m to having 3 Δ of intermittent right hypertropia in primary gaze and 12
Frueh BR. Graves' Ophthalmopathy. Arch Ophthalmol. 1985;103(8):1110. doi:10.1001/archopht.1985.01050080022005