Fig. 1
From: Recurrent superior orbital fissure syndrome associated with VEXAS syndrome
Clinical and radiological findings at the time of symptom recurrence. A Right periorbital swelling and ptosis. B, C Conjunctival injection and ophthalmoplegia. D axial CT imaging of the orbits demonstrates relative right proptosis, anterior orbital soft tissue swelling, enlarged lacrimal gland, mild enlargement of the medial and lateral rectus muscles, subtle nerve sheath thickening, thickening of the anterior cavernous sinus (arrow) and soft tissue changes within superior orbital fissure/orbital apex. E Coronal CT orbit demonstrating enlarged right lacrimal gland with spill-over inflammation into superior rectus and levator muscle complex. F Residual mild right ptosis after resolution of orbital inflammation