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Bilateral ocular proptosis

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Known hyperthyroidism

Patient Data

Age: 25 years
Gender: Male
ct

Abnormal protrusion of the globes bilaterally.

Case Discussion

On axial CT images and at a level of the lens , the distance from the anterior margin of the globe to interzygomatic line should not exceed 21 mm. If this distance exceeds 21 mm, it is compatible with proptosis 2.

In this case the distance from the anterior margin of the globe to the line is 23 mm on the right side and 25 mm onde the left side. The findings are comptible with ocular proptosis due to thyroid ophthalmopathy.

 

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