A 28-year-old Male with Complaints of Redness in Right Eye with Proptosis

SECTION 1 – QUIZ Case A 28-year-old man presented at our hospital reporting redness in his right eye accompanied by proptosis persisting for 6 months [Figure 1]. He also complained of headaches that had gradually developed without a diurnal pattern and were partially relieved by painkillers. There were no reports of fever, neck stiffness, or projectile vomiting. A thorough neurological examination revealed no abnormalities; the patient was fully oriented in time, place, and person and exhibited normal higher mental functions. Ophthalmic assessment revealed proptosis, chemosis, and orbital bruit, with unremarkable visual acuity in both eyes.Figure 1: Clinical photograph showing patient’s eyes appearing red with proptosisUpon questioning, the patient disclosed a history of a road traffic accident 9 months prior, resulting in traumatic injuries, including a fractured mandible and a forehead laceration. Symptoms in the right eye began 3 months after the incident. The patient had no prior history of diabetes or hypertension, and his thyroid profile was within normal limits. Orbital Doppler ultrasonography findings are depicted in Video 1. {"href":"Single Video Player","role":"media-player-id","content-type":"play-in-place","position":"float","orientation":"portrait","label":"Video 1.","caption":"","object-id":[{"pub-id-type":"doi","id":""},{"pub-id-type":"other","content-type":"media-stream-id","id":"1_o7b09cih"},{"pub-id-type":"other","content-type":"media-source","id":"Kaltura"}]} WHAT IS YOUR IMPRESSION? Declaration of patient consent The authors certify that they have obtained all appropriate patient consent form. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understands that his name and initials will not be published and due efforts will be made to conceal the identity, but anonymity cannot be guaranteed. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.