Dysthyroid orbitopathy (Kennerdell Case 5, PPT)

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Identifier Kennerdell_case05_do_pp
Title Dysthyroid orbitopathy (Kennerdell Case 5, PPT)
Creator John S. Kennerdell, MD, Chair, Department of Ophthalmology, Allegheny General Hospital Professor, Ophthalmology, Drexel University
Subject Orbit; Hypertropia; Proptosis; Exophthalmos; Strabismus; Dysthyroid Orbitopathy; Extraocular myopathy
Presenting Symptom swelling and proptosis of the right eye with tearing and slightly blurred vision
History This is a 48 year old man referred with swelling and proptosis of the right eye with tearing and slightly blurred vision. His right upper and lower lids were puffy and the conjunctiva was slightly injected with 3mm proptosis of the right eye. Three months later, the patient demonstrated increased swelling of the upper and lower lids consistent with early thyroid orbitopathy of the left eye. Four months later, showed increased proptosis and swelling of the left eye with continued swelling of the right upper and lower lids. Five months later, showed the swelling of the upper and lower lids beginning to subside, but now, there was a vertical imbalance of the eyes with a marked hypertropia and limited upgaze, left eye. Six months later, with diminished swelling of the lids, marked increase in the asymmetry of the eye positions with a marked right hypertropia. Six months later, demonstration subsidence of the lid swelling, but with residual puffiness, fat prolapse, and skin redundancy. The vertical dissociation of the eyes has improved, but there was a persistent right hypertropia.
Anatomy Orbit
Disease/Diagnosis Dysthyroid orbitopathy; Thyroid associated opthalmopathy
Treatment Refused treatment.
Contributor Primary Kennerdell, John S.
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Type Image
Format application/pdf
Format Creation Scanned at 2700 ppi on Nikon LS2000 and Nikon 8000 film scanners.
Source 35mm Kodachrome slide
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Contributing Institution Allegheny General Hospital. Dept. of Ophthalmology; Drexel University. Dept. of Ophthalmology
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E, SLC, UT 84112-5890
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Metadata Cataloger Ken Rockwell, Associate Librarian, Marriott Library, University of Utah
ARK ark:/87278/s6qf8vmz
Setname ehsl_novel_jsk
Date Created 2007-12-03
Date Modified 2015-09-08
ID 180118
Reference URL https://collections.lib.utah.edu/ark:/87278/s6qf8vmz
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