The authors report a case of a 69 year-old woman who developed persistent vertical deviation and diplopia after extracapsular cataract surgery and had a positive past history of thyroid disease. The authors emphasize the need of for detailed orbit propedeutics in order to rule out restrictive strabismus associated with post-facectomy diplopia.
Persistent vertical post-facectomy and associated thyroid disease
(A) Fotografia em lâmpada de fenda do olho direito (OD) evidenciando alterações irianas compatíveis com a síndrome de Cogan-Reese (síndrome ICE), com corectopia/ectrópio uveal e múltiplos nódulos pigmentados na superfície da íris. (B) Fotografia em lâmpada de fenda do olho esquerdo (OS) sem alterações irianas significativas. (C) Microscopia especular do OD mostrando redução da densidade endotelial (2.154 células/mm²), com acentuado pleomorfismo/polimegatismo (baixa hexagonalidade). (D) Microscopia especular do OS com densidade endotelial preservada (2.502,7 células/mm²) e morfologia celular sem alterações relevantes.
LeiteDA, VasconcelosGC, FigueiredoARP, AlmeidaHC. Persistent vertical post-facectomy and associated thyroid disease. Rev Bras Oftalmol. 2016;75(3):235-7.
Leite,Daniel Amorim; Vasconcelos,Galton Carvalho; Figueiredo,Ana Rosa Pimentel; Almeida,Henderson Celestino de. Persistent vertical post-facectomy and associated thyroid disease. Rev Bras Oftalmol., v. 75, n. 3, p. 235-237, Jun. 2016.
Leite,D.A., Vasconcelos,G.C., Figueiredo,A.R.P., & Almeida,H.C. (2016). Persistent vertical post-facectomy and associated thyroid disease. Rev Bras Oftalmol.,75(3), 235-237.
Leite,Daniel Amorim and Vasconcelos,Galton Carvalho and Figueiredo,Ana Rosa Pimentel and Almeida,Henderson Celestino de. Persistent vertical post-facectomy and associated thyroid disease. Rev Bras Oftalmol. [online]. 2016, vol. 75, n. 3, [cited 2026-03-11], pp.235-237. Available from: <https://www.rbojournal.org/en/article/persistent-vertical-post-facectomy-and-associated-thyroid-disease/>. ISSN 0034-7280.
