An 84-year-old man was referred to the oculoplastic service at Tufts Medical Center/New England Eye Center for evaluation of 3 months of binocular diplopia and right retroorbital pain. Outside imaging had revealed a right orbital mass.
The patient had a medical history of hypertension, hyperlipidemia, chronic obstructive pulmonary disease, Parkinson’s disease and depression. Surgical history was significant for spinal surgery for spina bifida at age 15 years. Ocular history was notable for cataract extraction and IOL implantation in both eyes. Social history revealed that he was a current