|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).
High myopia of -17.00D