Bilateral orbital varices: Report of a patient presenting with thrombosis of an inferior nasal varix

Marc J. Safran, Neil R. Miller, W. Richard Green

Research output: Contribution to journalArticlepeer-review

Abstract

Orbital varices are rare venous anomalies that usually produce a unique clinical picture of intermittent proptosis associated with dependency of the head, jugular vein compression, the Valsalva maneuver, and other mechanisms elevating ocular venous pressure. We report the case of a 71-year-old male who presented with the acute onset of a cystic mass below the right inner canthus and associated vertical diplopia. Subsequent radiologic and histopathologic evaluation revealed a thrombosed, prolapsed varix with underlying bilateral orbital varices. The patient had sustained facial trauma two years previously and a post-traumatic etiology is postulated. The patient's clinical, physical and radiologic findings are discussed, and the characteristic features of orbital varices are reviewed.

Original languageEnglish (US)
Pages (from-to)255-261
Number of pages7
JournalOrbit
Volume3
Issue number4
DOIs
StatePublished - 1984

Keywords

  • Orbital varices
  • Thrombosed varix
  • Trauma
  • Venography

ASJC Scopus subject areas

  • Ophthalmology

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