A 41-year-old woman was referred to the neuro-ophthalmology service at the New England Eye Center for left-sided proptosis, left upper lid edema and progressively worsening vision in the left eye for about 5 months.
Her symptoms started after giving birth to her child. She did not have any double vision but was having intermittent dull, throbbing bitemporal and bifrontal headaches that worsened with stress. Her medical history was significant for prior Graves’ disease although she was currently euthyroid and not on medications. She also had a history of gestational diabetes and