Thyroid eye disease

Case contributed by Dr Ian Bickle


Known thyroid disease. Watery eyes. Blurred vision. Profound proptosis and chemosis.

Patient Data

Age: 60 years
Gender: Female

Profound bilateral proptosis of 2 cm. The inferior eyelids are oedematous. Congested pre-septal soft tissues.

Symmetrical bilateral superior, inferior, medial and lateral rectus muscle enlargement. The tendinous insertions are spared with marked enlargement of the muscle bodies.

The optic nerves has a slither of surrounding fat at the orbital apex due to surrounding muscle enlargement.

Case Discussion

This delayed presentation with thyroid eye disease demonstrates a profound example of the extra-ocular muscle enlargement typical of this condition.

The muscle bellies are enlarged with sparing of the tendinous insertions in the appearance of a traditional coca-cola bottle.

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Case information

rID: 48392
Published: 5th Oct 2016
Last edited: 16th Jul 2018
System: Head & Neck
Tag: orbit
Inclusion in quiz mode: Included
Excluded from licensing

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