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September 1960

Unilateral Exophthalmos: Report of a Case with Demonstration of an Intraorbital Tumor by Orbital Pneumotomography

Arch Ophthalmol. 1960;64(3):438-442. doi:10.1001/archopht.1960.01840010440018

The need for accurate preoperative discrimination between extraocular and intraocular foreign bodies lying in the orbit induced Gasteiger and Grauer1 to inject air behind the human eye for the first time (1929). They found that the posterior surface of the globe and Tenon's space could be better outlined in this manner than by any other current roentgenologic techniques. Several authors2-6 have since employed this method to aid in the demonstration of intraorbital tumors. The present report concerns the use of the procedure in a patient with the diagnostic problem of unilateral exophthalmos.

Report of Case  A 27-year-old university student was referred to the hospital because of slowly progressive left exophthalmos. Four years earlier he had first become aware of prominence of the left eye. From old photographs it seemed likely that this had started at the age of 15 (Fig. 1A) and had progressed gradually. For three months