case_images: PMC8077451_01
case_images: a Patient prior to orbital decompression. b Following decompression surgery, botulinum toxin injection, and eyelid repair for treatment of upper eyelid retraction.
case_images: cop-0012-0142-g01.jpg
case_images: PMC8077451_01_cop-0012-0142-g01.jpg
case_images: F1
case_images: A 52-year-old-female was referred to our clinic due to a right eye proptosis present for 2 months (Fig. 1a) without diplopia or other complaints. Following surgery, diplopia symptoms were resolved and the patient was satisfied with the esthetic result (Fig. 1b).
case_images: a Coronal T1-weighted contrast-enhanced MR scan of orbits demonstrates irregular enlargement of the right lacrimal gland. b Normal extraconal muscles.
case_images: cop-0012-0142-g02.jpg
case_images: PMC8077451_01_cop-0012-0142-g02.jpg
case_images: F2
case_images: The only pathologic finding revealed by the scan was irregular enlargement of the right lacrimal gland (Fig. 2).
case_images: a Coronal computed tomography of the brain without contrast enhancement at presentation demonstrates normal extraconal muscles. b Coronal computed tomography of the brain without contrast enhancement 2 years after presentation demonstrates irregular enlargement of the left inferior rectus.
case_images: cop-0012-0142-g03.jpg
case_images: PMC8077451_01_cop-0012-0142-g03.jpg
case_images: F3
case_images: One year following the decompression surgery, the patient complained of a new-onset diplopia, and a repeated computed tomography showed a new enlargement of extraocular muscles, this time in the left eye (Fig. 3).