“…7 External examination may yield a nontender, smooth, partially compressible mass, with the larger ones inducing a pressure feeling by the patient, and mass effect. 23 Ocular motility is usually restricted on superior and nasal movements. 23 Other symptoms and signs include astigmatism, epiphora, nasolacrimal duct obstruction, ophthalmoplegia (restricted eye movement), ptosis, conjunctival chemosis, eyelid and periorbital oedema, forehead oedema (10 per cent), 1 enophthalmos, hypoglobus (inferior displacement of the globe into the orbit), dynamic proptosis (binocular spontaneous and dynamic pulsatile proptosis), proptosis (22-83 per cent), 6,7 frontal pain, headache, ocular pain, elevated intraocular pressure, orbital blow out fractures and bony erosion of the orbital walls, skull base erosions (10-20 per cent), 24 bilateral chorioretinal folds, optic neuropathy, decreased vision, and blindness.…”