Blindness from orbital varices: Case report

Isabella T. Phan, William F. Hoyt, Timothy J McCulley, Thomas N. Hwang

Research output: Contribution to journalArticle

Abstract

A 41-year-old woman presented with a 21-year history of a left orbital mass. She reported 3 distinct episodes of sudden proptosis, periorbital bruising, pain, nausea and vomiting with resulting stepwise deterioration in her vision. Her symptoms resolved spontaneously over several days, with the exception of loss in vision, which persisted. Examination was notable for ipsilateral enophthalmos in primary gaze. With Valsalva she developed proptosis. Magnetic resonance imaging (MRI) demonstrated a left orbital apex malformation consistent with a varix. She had no light perception on the left with end-stage optic atrophy. This case illustrates the severity of visual loss that can occur with orbital varices.

Original languageEnglish (US)
Pages (from-to)303-305
Number of pages3
JournalOrbit
Volume28
Issue number5
DOIs
StatePublished - Sep 4 2009
Externally publishedYes

Fingerprint

Exophthalmos
Varicose Veins
Blindness
Enophthalmos
Optic Atrophy
Nausea
Vomiting
Magnetic Resonance Imaging
Light
Pain

Keywords

  • Hemorrhage
  • Lymphangioma
  • Orbit
  • Tumor
  • Varix

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Blindness from orbital varices : Case report. / Phan, Isabella T.; Hoyt, William F.; McCulley, Timothy J; Hwang, Thomas N.

In: Orbit, Vol. 28, No. 5, 04.09.2009, p. 303-305.

Research output: Contribution to journalArticle

Phan, IT, Hoyt, WF, McCulley, TJ & Hwang, TN 2009, 'Blindness from orbital varices: Case report', Orbit, vol. 28, no. 5, pp. 303-305. https://doi.org/10.3109/01676830903043843
Phan, Isabella T. ; Hoyt, William F. ; McCulley, Timothy J ; Hwang, Thomas N. / Blindness from orbital varices : Case report. In: Orbit. 2009 ; Vol. 28, No. 5. pp. 303-305.
@article{9b6f141561d645bc98a4da45d538fa5b,
title = "Blindness from orbital varices: Case report",
abstract = "A 41-year-old woman presented with a 21-year history of a left orbital mass. She reported 3 distinct episodes of sudden proptosis, periorbital bruising, pain, nausea and vomiting with resulting stepwise deterioration in her vision. Her symptoms resolved spontaneously over several days, with the exception of loss in vision, which persisted. Examination was notable for ipsilateral enophthalmos in primary gaze. With Valsalva she developed proptosis. Magnetic resonance imaging (MRI) demonstrated a left orbital apex malformation consistent with a varix. She had no light perception on the left with end-stage optic atrophy. This case illustrates the severity of visual loss that can occur with orbital varices.",
keywords = "Hemorrhage, Lymphangioma, Orbit, Tumor, Varix",
author = "Phan, {Isabella T.} and Hoyt, {William F.} and McCulley, {Timothy J} and Hwang, {Thomas N.}",
year = "2009",
month = "9",
day = "4",
doi = "10.3109/01676830903043843",
language = "English (US)",
volume = "28",
pages = "303--305",
journal = "Orbit",
issn = "0167-6830",
publisher = "Informa Healthcare",
number = "5",

}

TY - JOUR

T1 - Blindness from orbital varices

T2 - Case report

AU - Phan, Isabella T.

AU - Hoyt, William F.

AU - McCulley, Timothy J

AU - Hwang, Thomas N.

PY - 2009/9/4

Y1 - 2009/9/4

N2 - A 41-year-old woman presented with a 21-year history of a left orbital mass. She reported 3 distinct episodes of sudden proptosis, periorbital bruising, pain, nausea and vomiting with resulting stepwise deterioration in her vision. Her symptoms resolved spontaneously over several days, with the exception of loss in vision, which persisted. Examination was notable for ipsilateral enophthalmos in primary gaze. With Valsalva she developed proptosis. Magnetic resonance imaging (MRI) demonstrated a left orbital apex malformation consistent with a varix. She had no light perception on the left with end-stage optic atrophy. This case illustrates the severity of visual loss that can occur with orbital varices.

AB - A 41-year-old woman presented with a 21-year history of a left orbital mass. She reported 3 distinct episodes of sudden proptosis, periorbital bruising, pain, nausea and vomiting with resulting stepwise deterioration in her vision. Her symptoms resolved spontaneously over several days, with the exception of loss in vision, which persisted. Examination was notable for ipsilateral enophthalmos in primary gaze. With Valsalva she developed proptosis. Magnetic resonance imaging (MRI) demonstrated a left orbital apex malformation consistent with a varix. She had no light perception on the left with end-stage optic atrophy. This case illustrates the severity of visual loss that can occur with orbital varices.

KW - Hemorrhage

KW - Lymphangioma

KW - Orbit

KW - Tumor

KW - Varix

UR - http://www.scopus.com/inward/record.url?scp=70449116206&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70449116206&partnerID=8YFLogxK

U2 - 10.3109/01676830903043843

DO - 10.3109/01676830903043843

M3 - Article

C2 - 19874125

AN - SCOPUS:70449116206

VL - 28

SP - 303

EP - 305

JO - Orbit

JF - Orbit

SN - 0167-6830

IS - 5

ER -