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We do agree that cases reported from the series by Leibovitch et al. and Taban et al. were not included, and we also agree that the bilateral case reported by Cheng et al. was not included in the discussion. However, the case described by Knowles et al. was orbital amyloidosis, than mere lacrimal gland involvement.
We would like to clarify that the axial proptosis was 2 mm and 2 mm was the inferior displacement.
We do agree that debulking is essential. However, this patient only had an incisional biopsy for diagnosis and opted to be under follow-up.