CM is a 7-year-old girl who presented to her pediatrician with sudden proptosis of her left eye over the course of one day. Examination found marked proptosis and numerous tiny serous-filled cysts of the conjunctiva in the inferior fornix. She was urgently referred to an ophthalmologist for evaluation. He found vision in her right eye of 20/20 and her left eye of 20/50-2 with a 2+ afferent pupil defect. Hertel exophthalmometry measured the anterior position of the right eye at 11 mm and the left at 17 mm.
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