Myxoedema with enophthalmos.

IN hypothyroidism, the palpebral fissures are generally narrowed, in striking contrast to the stare of Graves's disease. This narrowing of the palpebral fissures, which is attributed to the myxoedematous swelling of the eyelids, often gives a false impression of enophthalmos. True enophthalmos (i.e. backward displacement of the eye in the orbit) may occur in myxoedema (Lemoine, 1938), but seems to be very unusual. This paper describes a case of spontaneous myxoedema in which marked, bilateral enophthalmos was noted.