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Clinical inquiry reveals ocular symptoms and management options, suggesting potential underlying conditions.
QuizFigure 1a -Proton density weighted axial image. Clinical HistoryMiddle age patient (male) presenting a rapid development of a left unilateral axile painful exophthalmos, associated with swollen lids and vessel engorgement on orbital clinical inspection and examination.Blurred vision from the left eye is reported.A slight limitation of vertical eye movements is observed.The orbital auscultation is normal.Moderate venous engorgement on the ocular fundus is retained.A history of remitting course with spontaneous regression of the proptosis or after steroid treatment is elicited.
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Jean Tamraz (2003) studied this question.
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