Extraocular muscle enlargement was seen in all patient groups with TAO of differing levels of severity. Measurements with MRI of muscle volume or maximal cross-sectional area are considered good indicators of muscle enlargement in TAO.

Consistent excyclovergence was induced in head tilt. A vestibular origin seems to provide a plausible explanation of the induced torsional disconjugacy, whereas visual feed-back seems plausible in explaining the better conjugacy in binocular viewing.

A torsional and vertical vergence back-and-forth eye movement induced by a BHTT was confirmed with the search coil technique. Utricular inertia due to an interaural head translation, combined with a stimulation of the vertical semicircular canals, seems to be a plausible explanation for these eye movements.