TP is a 43-year-old woman who presented with the complaint that her eyelashes were brushing against her glasses for the past several weeks. Examination found vision in the right eye of 20/25 and the left of 20/20. She had full range of extraocular movements and no horizontal or vertical displacement of the eye. Hertel exophthalmometry was performed and OD measured 24 mm with OS at 17 mm. Her driver’s license photo had been taken 5 years previously and there was no apparent proptosis of the right eye when the picture was inspected with a magnifying lens. Fundus examination was remarkable for the presence of choroidal folds in the right eye.
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