ArticleCureus2026
Resolution of Thyroid Eye Disease-Related Diplopia Following Intentional Myopic Targeting With Unilateral Cataract Surgery.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
This case report describes the functional resolution of symptomatic diplopia in a patient with stable thyroid eye disease (TED) following unilateral cataract surgery with intentional myopic refractive targeting. A 58-year-old patient with inactive TED presented with persistent distance diplopia and a visually significant unilateral cataract. Prism correction was poorly tolerated, and the patient declined strabismus surgery. Cataract extraction with monofocal intraocular lens implantation was performed, intentionally targeting a postoperative refraction of -3.00 diopters to induce functional anisometropia. At the six-month follow-up, the achieved refraction was -2.25 diopters. The patient reported subjective resolution of diplopia at both distance and near, with improved binocular comfort. Ocular motility remained unchanged, supporting a functional rather than mechanical mechanism. The aim of this case report is to highlight a novel diplopia treatment modality specifically for TED euthyroid patients. Intentional myopic refractive targeting during unilateral cataract surgery may represent a noninvasive functional option for alleviating diplopia in carefully selected patients with stable TED.
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