Unilateral or bilateral painless proptosis, eyelid retraction, eyelid lag, and motility disturbances?

• Thyroid ophthalmopathy

  • multisystem. autoimmune disorder
  • hyperthyroid, hypothyroid, euthyroid
    • inflammation and enlargement EOM
      • IR>MR>SR>LR
      • fusiform enlargement sparing the tendon
    • peribulbar tissues.
  • Proptosis
  • Eyelid retraction
  • Corneal problems
  • Diplopia
  • Optic nerve compression
  • Treatment depending on the severity
  • Systemic and laboratory evaluation is mandatory

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