DR. ARTI WANKHADE

Dr.Ragini Hasmukuray Parekh, Dr.LAHANE TATYARAO PUNDLIKRAO, DR SUMEET LAHANE

Abstract

Purpose -Report a case of unusual proptosis

Material and methods – retrospective chart analysis of case of 50-year-old male patient with left eye proptosis, chemosis, congestion since 2 years treated as thyroid eye disorder with intravenous methyl prednisolone X 12 doses. He was subjected to magnetic resonance imaging(MRI) and digital subtraction angiography(DSA).

Result – DSA revealed presence of small indirect caroticocavernous fistula on left side. Patient had developed enormous hypertrophy of muscle of left eye leading to proptosis.

Conclusion- Cases of steroid resistant non resolving proptosis should be thoroughly reviewed considering all possible differential diagnosis.