Bilateral Exophthalmos - A Case Report and Review of Literature

Graves Ophthalmopathy ( Dysthyroid Eye Disease) is the most common cause of unilateral or bilateral proptosis in adults between ages of 25-50 years, mostly females. Diagnostic clinical features include Proptosis, Eyelid retraction, restrictive myopathy and possibly Compressive optic neuropathy. Here in this case report we present a patient with Graves disease with early ocular signs of Dysthyroid state. Mild Exophthalmos may be associated with Hyperthyroidism and an extreme Exophthalmos is seen in any state of thyroid activity but usually hypothyroidism.