Progressive visual loss and ophthalmoplegia

A 51-year-old woman with hyperthyroidism presented with a 4-week history of bilateral progressive visual loss despite treatment with oral prednisone. Her visual function improved after bilateral orbital decompression. The ind ications for and advantages and disadvantages of radiation therapy and orbi tal decompression in TAO are discussed. The management of intraocular press ure, strabismus, and lid abnormalities in TAO is also addressed. (C) 2000 b y Elsevier Science Inc. All rights reserved.