RJ is a 56-year-old woman who was told by her daughter that her right eye “looked bigger than her left.” She consulted her primary care doctor who told her she probably had Graves’ disease because of a history of thyroid problems, including treatment for hyperthyroidism with radioactive iodine 131 a number of years ago. An ophthalmologist was consulted who performed an examination and confirmed the presence of 5 mm of proptosis in her right eye. The remainder of the examination was normal including visual acuity in both eyes of 20/20.
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