MK is a 32-year-old woman who complained of redness and discomfort of her right eye for several days. Her pain was worse when she looked to the left. Clinical examination demonstrated focal injection over the area of the medial rectus tendon. A- and B-scan showed thickening and low reflectivity of this tendon. The medial rectus muscle belly appeared to be of normal thickness and internal reflectivity. The adjacent sciera was slightly thickened with increased echoluceny of subtenon’s space (Fig. 135). She responded to an oral anti-inflammatory with resolution of her symptoms over several weeks.
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