ABSTRACT
We present four young patients with unusual clinical patterns of strabismus and CT appearance suggestive of thyroid eye disease. The young age of these patients and the absence of any other clinical features of thyroid eye disease or thyroid disease do not really allow thyroid eye disease to be a credible explanation for the clinical and radiological findings. Muscle biopsy shows increased fibrous tissue, not typical of thyroid eye disease. We propose that this is a new clinical syndrome.
