Fig. 1

Patient’s photographs on a “bad” day and a “good” day, plus computed tomography (CT) scans. a “Bad” day. The patient manifested a 35 prism diopters (PD) left hypotropia in the primary position with marked limitation of elevation in her left eye. b “Good” day. The patient had 7 PD left hypotropia in the primary position with mild limitation of elevation in her left eye. c A 2-mm sized left exophthalmos and asymmetric enlargement of the inferior and medial rectus muscles were present in her left eye on a CT scan