Proptosis: A rare sole presentation of metastatic disease

Orbital metastasis is identified clinically in very few cases having metastatic disease. We report a case of 62-year-old female having breast cancer for 4 years with sudden proptosis. She was further investigated to have multiple metastases. As these patients have dismal prognosis, the treatment can only be palliative. This case report impresses upon the need of thorough systemic evaluation in a known patient of cancer with proptosis because it can be the sole presentation of potentially alarming multiple metastases.