PMC7434372_01
Photograph showing bilateral ocular proptosis with lid erythema, edema, and severe chemosis, worse in the right eye. This led to lagophthalmos and corneal exposure.
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Severe mechanical ectropion also resulted, though not apparent in the image, and her significant chemosis resulted in exposure keratoconjunctivitis OD with inferior corneal breakdown (Figure 1).
(A, B) Computed tomography showing marked bilateral orbital soft tissue swelling and proptosis, right greater than left, with right retro-bulbar hematoma and/or collection exerting mass effect on the right globe. Bone is intact across both slides cuts. (C) Magnetic resonance imaging demonstrating enhancing intraorbital masses, bilateral proptosis, mass effect, and involvement of extraocular muscles. The left lateral rectus muscle is enlarged (arrow).
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MRI of the orbits, one week post-CT, revealed bilateral enhancing intraorbital masses, resulting in bilateral proptosis with mass effect on the right globe and optic nerve with no compromise in the orbital bone architecture (Figure 2A-C).