Corneal Abrasions and Exophthalmos from Dysthyroid Orbitopathy (Kennerdell Case 56, PPT)

History: A 15-year-old boy was referred from another institution because of recurrent corneal abrasions suffered due to unusual marked exophthalmos from Dysthyroid Orbitopathy. Inadequate decompressions were performed at another institution. Virtually no bone was removed. No functional deficit except for the recurrent corneal abrasions. Anatomy: Cornea, Orbit. Disease Diagnosis: Thyroid Associated Ophthalmopathy; Dysthyroid Orbitopathy. Neuroimaging: The corneal stain from the recurrent abrasions. The inadequate decompressions that were performed at another institution. Virtually no bone was removed. A coronal view of the moderately enlarged extraocular muscles, but increase in the apex of the orbital fat, a variation of Dysthyroid Orbitopathy. Presenting Symptom: Recurrent corneal abrasions suffered due to unusual marked exophthalmos from Dysthyroid Orbitopathy. Treatment: Three wall orbital decompression.