[Malignant exophtalmos in hyperthyroidism with a hypothyroid crisis].

Area of Science:

• Endocrinology
• Ophthalmology

Background:

• Graves' disease is an autoimmune disorder often associated with thyroid dysfunction.
• Malignant exophthalmos, a severe complication, can lead to significant ocular morbidity.

Observation:

• A 56-year-old male presented with worsening malignant exophthalmos.
• The exacerbation coincided with a hypothyroid crisis.

Findings:

• Multiple therapeutic interventions were necessary to manage the proptosis.
• Successful management required a comprehensive approach considering both ocular and thyroid status.

Implications:

• This case underscores the complex interplay between thyroid status and ocular manifestations in Graves' disease.
• Therapeutic strategies for malignant exophthalmos must be individualized based on disease severity and thyroid activity.