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A 73-year-old man with congestion and mild proptosis of the left eye
Digital Journal of Ophthalmology 2016
Volume 22, Number 2
April 25, 2016
DOI: 10.5693/djo.03.2014.05.001
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Amanda Mohanan Earatt, MS | Department of Ophthalmology, Amala Institute of Medical Sciences, Thrissur, Kerala, India
Lathika Vasu Kamaladevi, MS, DO, FRCS Glasgow | Department of Ophthalmology, Amala Institute of Medical Sciences, Thrissur, Kerala, India
Charles K. Skariah, MS, DO | Department of Ophthalmology, Amala Institute of Medical Sciences, Thrissur, Kerala, India
Differential Diagnosis
In this patient, the differential diagnosis included a lacrimal gland tumor or idiopathic orbital inflammation, which are the most common lesions in the lacrimal gland area. A history of thyroid disorder, with clinical signs of unilateral proptosis, restricted ocular motility, and the presence of temporal flare and chemosis of the conjunctiva, prompted us to include thyroid ophthalmopathy in the differential diagnosis. The possibility of primary or metastatic orbital tumors was also considered in view of the patient’s history of prostate carcinoma.
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