Figure 1:
At presentation, there was redness, proptosis, upper eyelid edema and
retraction, and increased inferior scleral show of the right eye
compared to the left (A ). Magnetic resonance imaging of the
orbit revealed an enlargement of the extraocular muscles of the right
eye compared to the left (B ). Six months following methotrexate
monotherapy, there was marked improvement of the clinical condition
apart from mild residual conjunctival chemosis (C ).