case_images: PMC10075267_01
case_images: Early asymmetrical orbits involvement and constant depression in primary position of the right ocular globe (A and B).
case_images: IMCRJ-16-233-g0001.jpg
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case_images: In addition, the patient presented a severe reduction in elevation, persistent depression in the primary position of the right ocular globe (Figure 1) and constant diplopia, as scored according to the Gorman score.
case_images: Coronal (A) and axial (B) CT slices shows massive enlargement of inferior rectus in right orbit.
case_images: IMCRJ-16-233-g0002.jpg
case_images: PMC10075267_01_IMCRJ-16-233-g0002.jpg
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case_images: Remarkably, the morphology of the other extraocular muscles in both orbits was normal (Figure 2A and B).
case_images: Photos at 100x (A) and 200x (B) magnification of right inferior rectus biopsy show diffuse fibrosis, fibroblast proliferation and adipose tissue infiltration inside intermyofibrillar space.
case_images: IMCRJ-16-233-g0003.jpg
case_images: PMC10075267_01_IMCRJ-16-233-g0003.jpg
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case_images: In that context, a biopsy of the right inferior rectus muscle revealed massive fibrosis with adipose tissue infiltration of this extraocular muscle (Figure 3A and B).