Orbitotomy and Graves ophtalmopathy

Case contributed by Shervin Sharifkashani
Diagnosis certain


A history of drug-resistant Graves ophthalmopathy and performed orbitotomy for decompression of the optic nerve.

Patient Data

Age: 70 years
Gender: Female

Enlarged lacrimal glands with prolapse, bilateral proptosis, large orbital fat, large width of inferior, medial, and superior rectus muscles containing hypodense foci more severe in inferior rectus muscles, and preseptal swelling are seen.
Orbitotomy on both sides orbital inferior medial wall and nasal side of the floor with related orbital fat and extraocular muscles herniation within the defects are seen. Fluid and thick mucosa in most paranasal sinuses are also seen.

Case Discussion

The case illustrates the typical non-contrast MDCT features of Graves ophthalmopathy and decompression surgery for relieving the pressure of enlarged extraocular muscles on optic nerves and decreasing the grade of proptosis.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.