Case 1
If you were asked to observe the patient below and carry out the necessary examination. You may be tempted to consider thyroid eye disease and test her ocular motility and thyroid status. However, this patient is euthyroid and has no thyroid eye disease.
The apparent exophthalmos results from large globes. The clue is in the glasses ie. high minus lenses. 
The appropriate next step is to carry out fundoscopy looking for myopic discs, lacquer cracks, myopic degeneration, Forster-Fuchs' spots, lattice degeneration and chorioretinal scars from previous retinal detachment operation (all these signs are present in this patient).

Apparent proptosis.

High myopia of -17.00D


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