A 75 year old man presents with complains of bulging right eye since a year. On examination proptosis is observed. Visual acuity was reduced in both eyes and there were no field defects. Fundoscopy shows no oedema or atrophy of the optic disc. Investigations reveal a normal hematology and biochemistry profile. Thyroid hormone levels are normal. Renal function and liver function tests are normal for age.
No other neurological abnormalities were noted. An axial MRI (T1 with fat saturation) is shown. Discuss the management. Source: Deftereos SP, et al. Cases Journal. 2008.
