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A 15-year-old girl with sudden onset proptosis
Digital Journal of Ophthalmology 2006
Volume 12, Number 5
December 12, 2006
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Adrian MacFarlane | Maidstone and Tunbridge Wells NHS Trust
andrew tatham | maidstone and tunbridge wells nhs trust, maidstone , kent, UK
Treatment
The patient was treated with anti-emetics and analgesia. Intravenous acetazolomide, and topical apraclonidine and timolol were administered to reduce the intraocular pressure, and amoxicillin-clavulanate in case of secondary infection.

She was managed conservatively with careful observation of her optic nerve function. Two days following admission she had begun to improve symptomatically and cosmetically with a reduction in the proptosis.

The gradual improvement continued and she was discharged on day five. There was complete resolution of proptosis and the intraocular pressure has returned to normal.
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