Acute Congestive Dysthyroid Orbitopathy (Kennerdell Case 6, PPT)

History: This 52-year-old man demonstrates the appearance of acute congestive Dysthyroid Orbitopathy with lid splinting, lid erythema, conjunctival prolapse and inability to move the eyes. His visual acuity was disturbed by the severe congestion and obstruction of his view by his conjunctiva and lids. Anatomy: Orbit. Disease Diagnosis: Dysthyroid Orbitopathy; Thyroid Associated Ophthalmopathy. Pathology: Dysthyroid Orbitopathy; Thyroid Associated Ophthalmopathy. Treatment: 2400 cGy radiation therapy to each orbit, which resulted in dramatic reduction of the congestion created by the extremely active orbitopathy. Presenting Symptom: Acute congestive Dysthyroid Orbitopathy with lid splinting, lid erythema, conjunctival prolapse and inability to move the eyes. Neuroimaging: Ultrasound with beam left to right showing dark round eye and an oval-shaped appearance of the markedly swollen superior rectus of the right orbit. Ocular Movement: Inability to move the eyes.