Enophthalmos and Diplopia with a History of Breast Cancer (Pathology)

Abstract

DiplopiaAn 82-year old female with a 2-month history of painless double vision. Previous history significant for bilateral cataract surgery, mastectomy and lymph node dissection for breast carcinoma.VA: 20/25 OU; Exophthalmometry: 15 OD, 18 OSCTFibrous proteins in intraconal fat and inferior rectus muscle.Surgery1. Goldberg RA, Rootman J. Clinical characteristics of metastatic orbital tumors. Ophthalmology 1990;97:620-4. 2. Murdoch IE, Sullivan TJ, Moseley I et al. Primary localised amyloidosis of the orbit. Br J Ophthalmol 1996;80:1083-6. 3. Raflo GT, Farrell TA, Siousat RS. Complete ophthalmoplegia secondary to amyloidosis associated with multiple myeloma. Am J Ophthalmol 1981;92:221-4.VBamyloidosi

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