Severe Dysthyroid Orbitopathy (Kennerdell Case 48, PPT)

History: A 50-year-old woman referred with severe exophthalmos from Dysthyroid Orbitopathy. Her complaints were recurrent corneal abrasion from chronic exposure and depression resulting from the marked exophthalmos. Anatomy: Orbit. Disease Diagnosis: Thyroid Associated Ophthalmopathy. Neuroimaging: Axial CT scan of the dramatic proptosis of both eyes. The portions of the medial and lateral wall removed by the surgery. The same plus portions of the superior wall that were removed to give the dramatic reduction in proptosis of 10 mm in the right eye and 11 mm in the left eye. Presenting Symptom: Severe exophthalmos from Dysthyroid Orbitopathy. Recurrent corneal abrasion, depression. Treatment: Four wall orbital decompression.