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Grave's Ophthalmopathy

Nguyen PTN - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Grave's Ophthalmopathy

History: 45 year-old man with a past history of malignant testicular neoplasm and Hashimoto’s thyroiditis, presents now with a several-month history of worsening eye swelling, dryness, and irritation, gradually progressing to lid retraction and intermittent blurry vision, prompting a referral to ophthalmology. He denies recent trauma, fever, chills, nausea, headaches.

Findings: • Bilateral proptosis and periorbital tissue edema • Enlarged inferior recti muscles • Increased periorbital fat distribution • Bellies of medial recti enlarged with normal tapering of tendons. • Enlarged superior, medial, inferior rectus muscles

Ddx: • Periorbital / Orbital Cellulitis • Histiocytosis • Orbital Myositis / Orbital Pseudotumor • Grave’s Orbitopathy • Lymphoma

Dxhow: Clinical findings and CT images

Exam: PE: Bilateral proptosis, mild periorbital edema, sclera clear, PERRLA, EOMI, no discharge

No MeSH data available.


Noncontrast axial CT image through orbits. Optic nerve intact, medial rectus muscle bellies enlarged with tapering of tendons, lateral recti normal.  Uniform, smooth, normal scleral wall thickness bilateral, increased intraconal fat.
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MPX1072_synpic34898: Noncontrast axial CT image through orbits. Optic nerve intact, medial rectus muscle bellies enlarged with tapering of tendons, lateral recti normal. Uniform, smooth, normal scleral wall thickness bilateral, increased intraconal fat.


Grave's Ophthalmopathy

Nguyen PTN - MedPix (2007)

Noncontrast axial CT image through orbits. Optic nerve intact, medial rectus muscle bellies enlarged with tapering of tendons, lateral recti normal.  Uniform, smooth, normal scleral wall thickness bilateral, increased intraconal fat.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1072&req=5

MPX1072_synpic34898: Noncontrast axial CT image through orbits. Optic nerve intact, medial rectus muscle bellies enlarged with tapering of tendons, lateral recti normal. Uniform, smooth, normal scleral wall thickness bilateral, increased intraconal fat.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Grave's Ophthalmopathy

History: 45 year-old man with a past history of malignant testicular neoplasm and Hashimoto’s thyroiditis, presents now with a several-month history of worsening eye swelling, dryness, and irritation, gradually progressing to lid retraction and intermittent blurry vision, prompting a referral to ophthalmology. He denies recent trauma, fever, chills, nausea, headaches.

Findings: • Bilateral proptosis and periorbital tissue edema • Enlarged inferior recti muscles • Increased periorbital fat distribution • Bellies of medial recti enlarged with normal tapering of tendons. • Enlarged superior, medial, inferior rectus muscles

Ddx: • Periorbital / Orbital Cellulitis • Histiocytosis • Orbital Myositis / Orbital Pseudotumor • Grave’s Orbitopathy • Lymphoma

Dxhow: Clinical findings and CT images

Exam: PE: Bilateral proptosis, mild periorbital edema, sclera clear, PERRLA, EOMI, no discharge

No MeSH data available.