Abrupt onset of painful diplopia has a wide differential diagnosis and should be thoroughly investigated. A 45-year-old male presented to the Emergency Department with 3 days history of acute onset diplopia and right bulbar pain provoked by eye movements. The patient did not have any relevant past medical history. He is a smoker (20 pack-years) and denied any other medication or alcohol abuse.
Painful diplopia: Do not forget Thyroid-Associated Ophthalmopathy.
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