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A 39-year-old man with painful proptosis after dental extraction
Digital Journal of Ophthalmology 2008
Volume 14, Number 4
February 7, 2008
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Brett Kotlus | Allure Medical Spa
Veena Kumar | Maxwell Aesthetic Surgery
Robert Cravens | Tucson Ear Nose and Throat
Robert Dryden | Arizona Centre Plastic Surgery



Examination
On physical examination, the patient had a Snellen visual acuity of 20/400 in the left eye with an afferent pupillary defect. Examination of the right eye was unremarkable. There was severe limitation of left extraocular movements and there was marked left axial proptosis, periorbital edema, and erythema. Examination of the oral cavity was performed, and no signs of abscess or infection were noted.
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Figure 1
 External photograph demonstrating left proptosis, periorbital edema, and chemosis


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