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A 52-year-old man with no previous medical history, but a high body mass index (BMI) >34, presented with a sudden onset of a painful, apparently proptosed left eye and decreased left vision (see figure 1). He had rubbed his eye on waking. On examination, there was no relative afferent …
Contributors PM edited photograph and wrote report. DV and SK advised on report edits and clinical considerations.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.