Orbital pseudotumour versus Grave disease

Pseudotumour Thyroid ophthalmopathy
Symptoms Unilateral, painful ophthalmoplegia Bilateral, painless ophthalmoplegia
Demographic Young adult females  Old adults
Features Isolated involvement of lateral rectus

Enhancement of the fat with contrast, fat stranding
Involvement of the lacrimal gland
Inferior rectus in Graves
Increased retro-orbital fat



 

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