Thrombosed orbital varix -- a correlation between imaging studies and histopathology.
A thrombosed varix in the orbit is comparatively rare. Clinical examination alone is often inadequate for diagnosis. Radio-logical examination, such as a computed tomography (CT) scan of the orbit, is extremely important. Histopathological examination (HPE) after excision biopsy can confirm the diagnosis. The present authors describe a case of proptosis in the left eye of a 45-year-old man. CT-scan and HPE supported the diagnosis of a thrombosed orbital varix. This paper discusses the use of radiological investigations to supplement a clinical suspicion and make the diagnosis. This entity needs to be included in the differential diagnosis of proptosis and requires a coordinated approach for establishment of the diagnosis.
Menon
Smita V
SV
Medical & Vision Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India.
Shome
Debraj
D
Mahesh
Lakshmi
L
Subramanian
Nirmala
N
Krishnakumar
S
S
Biswas
J
J
Noronha
Olma Veena
OV
D001707:Biopsy, Needle; D005094:Exophthalmos / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D009915:Orbit / Q000098:blood supply*; D018570:Risk Assessment; D012720:Severity of Illness Index; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014648:Varicose Veins / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology