Frueh B R, Grill R, Musch D C
Ophthalmology. 1986 Jan;93(1):8-13. doi: 10.1016/s0161-6420(86)33786-2.
The posterior vector of the lid protractor force was measured in 29 patients with Graves' eye disease (GED) and 70 normal subjects. Patients with GED had significantly lower mean lid protractor force generation than normal subjects, although GED patients with compressive optic neuropathy did not show this difference. There was a negative correlation between the posterior force vectors and the exophthalmometer reading in GED patients only. It is conjectured that these two factors are linked by orbital and lid inflammation. The inflammation that increases orbital bulk, and thus increases the exophthalmometer reading, may well cause atrophy in the orbicularis oculi muscles, decreasing its force generation.
在29例格雷夫斯眼病（GED）患者和70名正常受试者中测量了提上睑肌力量的后向矢量。GED患者的平均提上睑肌力量产生明显低于正常受试者，尽管患有压迫性视神经病变的GED患者未表现出这种差异。仅在GED患者中，后向力矢量与眼球突出计读数之间存在负相关。据推测，这两个因素通过眼眶和眼睑炎症相关联。增加眼眶容积从而增加眼球突出计读数的炎症很可能导致眼轮匝肌萎缩，降低其力量产生。
