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Proptosis patient (photograph)

This 76-year-old man presented with diplopia in all directions of gaze. The right periorbita showed diffuse boggy edema concentrated in the inferior lid. There was significant clear chemosis of the right bulbar conjunctiva. The globe is relatively immobile and displaced superiorly by several millimeters. Differential diagnosis is unilateral thyroid related orbitopathy, lymphoma, and vasculitis. (Contributed by Dr. Mark Duffy.)

Associated Disorders

  • Cavernous sinus thrombosis
  • Euthyroidism
  • Extraocular muscle enlargement
  • Generalized autoimmune diseases
  • Graves ophthalmopathy
  • Hashimoto thyroiditis
  • Hypothyroidism
  • Open angle glaucoma
  • Orbital pseudotumor
  • Rhabdomyosarcoma
  • Sarcoidosis
  • Secondary glaucoma
  • Thyroid-associated ophthalmopathy