Which of the following is a comprehensive management approach for exophthalmos?

• A. Elevate head of bed at night, use artificial tears, wear dark glasses or eye patches
• B. Take ibuprofen and apply ice to eyes
• C. Sleep with face down
• D. Use heavy eye makeup

Answer: (A)

Protecting the eye surface and reducing exposure is central to managing exophthalmos. Elevating the head of the bed at night decreases periorbital edema and venous congestion, which can lessen eye protrusion-related swelling and help the eyelids blink more effectively over the cornea. Using artificial tears keeps the cornea lubricated when eyelid closure is incomplete, lowering the risk of dry eye and keratopathy. Wearing dark glasses or eye patches provides a physical barrier against wind, light, and irritation, further protecting the exposed surface of the eye. Together, these measures address protection, lubrication, and patient comfort, making them the most comprehensive approach for exophthalmos. Other options fail to protect the cornea or worsen exposure—ibuprofen with ice may relieve symptoms temporarily but doesn’t safeguard the eye surface; sleeping face down increases exposure; heavy eye makeup offers no protective benefit.