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This patient with bilateral ocular irritation has
this diffused non-pitting swelling of her lower
legs.

a. What is the diagnosis?

b. What other abnormalities may be present?

c. Why does the patient complain of ocular
irritation?

Answers:

This patient with bilateral ocular irritation has this diffused non-pitting swelling
of her lower legs.
a. What is the diagnosis?
Pretibial myxoedema.
This is seen in patient with Grave's disease.

b. What other abnormalities may be present?
Thyroid acropachy (resembling finger clubbing) and exophthlamos.

c. Why does the patient complain of ocular irritation?
Dry eyes or corneal exposure casued by exophthlamos

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