Vital signs: Afebrile Vision: 20/50 OD, 20/20 OS Pupils: Normal OU Motility: Moderate to severe limitation in all directions OD, worst on upgaze. Full OS. Color: Normal OU Exophthalmometry: 7 mm proptosis OD External exam: See figure 1 Slit lamp examination: OD: There was 2+ conjunctival injection and a few SPK. The anterior chamber was deep and quiet. The iris and lens were normal. OS: Normal. Applanation pressures: 16 mmHg OD, 12 mmHg OS. Fundus examination: See figure 2
Figures 1a-1b. External exam showing the right eye is displaced inferiorly, injected, and with marked proptosis (7 mm). Also note that motility is decreased as seen here on left gaze.
Figure 2a-2b. Ophthalmoscopy (Left) Posterior pole OD, showing macular striae and choroidal folds. (Right) Nasal fundus OD, showing areas of elevation consistent with choroidal effusions. The fundus OS was normal.