Ptosis due to Extraocular Muscle Swelling

Clinical photograph showing left-sided ptosis and proptosis
Clinical photograph showing conjunctival congestion
T2W MRI showing swelling of superior rectus.levator palpebrae superioris and lateral rectus on the left side
T2W MRI showing the swollen extraocular muscles on the left side

60-year old gentleman presented with 5-day history of left sided ptosis and proptosis. He had conjunctival congestion. He was a diabetic, however, he had no history of thyroid disease.

MRI brain showed swelling of left superior rectus, levator palpebrae superioris and lateral rectus muscles on the left side.

Differential diagnosis include: Thyroid eye disease, idiopathic orbital myositis, IgG4-related disease, sarcoidosis, lymphoma, metastases, etc.

Published by Dr Sudhir Kumar MD (Medicine) DM (Neurology)

I am a doctor with 25 years experience. I have worked as a neurologist for about 20 years. Educating public and healthcare professionals is very dear to me. This is possible due to my interactions with thousands of patients and their caregivers. I salute the patients who suffer and it is our duty to minimise suffering by preventing diseases and ensuring prompt diagnosis and treatment of those already affected.

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