PMC8077451_01
a Patient prior to orbital decompression. b Following decompression surgery, botulinum toxin injection, and eyelid repair for treatment of upper eyelid retraction.
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F1
A 52-year-old-female was referred to our clinic due to a right eye proptosis present for 2 months (Fig. 1a) without diplopia or other complaints. Following surgery, diplopia symptoms were resolved and the patient was satisfied with the esthetic result (Fig. 1b).
a Coronal T1-weighted contrast-enhanced MR scan of orbits demonstrates irregular enlargement of the right lacrimal gland. b Normal extraconal muscles.
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F2
The only pathologic finding revealed by the scan was irregular enlargement of the right lacrimal gland (Fig. 2).
a Coronal computed tomography of the brain without contrast enhancement at presentation demonstrates normal extraconal muscles. b Coronal computed tomography of the brain without contrast enhancement 2 years after presentation demonstrates irregular enlargement of the left inferior rectus.
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F3
One year following the decompression surgery, the patient complained of a new-onset diplopia, and a repeated computed tomography showed a new enlargement of extraocular muscles, this time in the left eye (Fig. 3).