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30 year old female with recurrent left orbital mass
Digital Journal of Ophthalmology 2001
Volume 7, Number 5
September 1, 2001
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Peter A.D. Rubin, M.D.,F.A.C.S. | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
Aaron Fay, M.D. | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
Ivana K. Kim, M.D. | Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA
Examination
On admission, the patient was found to be in significant distress and pain.

Vision: 20/20 OU
Pupils: Equal, round, and reactive to light. No afferent pupillary defect
Motility: Full OD. 3/4 abduction OS. Diplopia in left gaze only, beginning at approximately 45 degrees.
External exam: S-shaped deformity of the left upper lid with fullness of the superotemporal quadrant. Palpation revealed a soft, doughy mass in that area. There was a surgical scar just underneath the left brow with some thinning of the brow hair.
Exophthalmometry: 3 mm proptosis of the left globe.
Slit lamp exam: normal OU
Fundus exam: normal OU
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Figure 1
Figures 1-2. Photographs of this patient reveal fullness of the upper, outer quadrant of the left upper eyelid, creating an S-shaped contour. There is mild ptosis and proptosis as well.

Figure 2