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Images in paediatrics
Strabismus in juvenile hyperthyroidism: not just thyroid-associated ophthalmopathy
  1. Xin Wei,
  2. Xin Qi
  1. Department of Ophthalmology, the Second Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China
  1. Correspondence to Dr Xin Qi, Central South University, Changsha 410011, China; qixin78{at}

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A 12-year-old girl was referred to our clinic with left eye deviation and double vision for 10 days. She had juvenile hyperthyroidism with positive TRAb and TPOAb, and was treated with methimazole and propranolol. A local clinic diagnosed her with restrictive strabismus caused by thyroid-associated ophthalmopathy (TAO).

Her visual acuity was 20/20 in both eyes, and had 6PD in horizontal deviation and 20PD in vertical. There were significant limitations in terms of downward movement, adduction and abduction …

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  • Funding This work was supported by the Natural Science Foundation of Hunan Province (2021JJ40859).

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.