Adnexal Service, Moorfields Eye Hospital, London, United Kingdom.
Adnexal Service, Moorfields Eye Hospital, London, United Kingdom.
J AAPOS. 2021 Apr;25(2):112-113. doi: 10.1016/j.jaapos.2020.11.002. Epub 2020 Dec 15.
Extraocular muscle enlargement is a hallmark of thyroid eye disease (TED), typically affecting the rectus muscles. We report a rare case of asymmetrical bilateral inferior oblique enlargement in a patient with probable TED. Although TED is the commonest cause of extraocular muscle enlargement, involvement of the inferior oblique muscle is extremely rare, and all such cases should be investigated for other non-TED etiologies, including inflammatory or neoplastic lesions.
眼外肌肿大是甲状腺眼病（TED）的一个标志，通常影响直肌。我们报告了一例可能患有 TED 的患者出现罕见的双侧下斜肌不对称肿大的病例。尽管 TED 是最常见的引起眼外肌肿大的原因，但下斜肌受累极为罕见，所有此类病例都应排除其他非 TED 病因，包括炎症或肿瘤性病变。
