Bilateral orbital varices: an approach to management.
The authors report a case of bilateral orbital varices in a 19-year-old man with a 7-year history of intermittent left proptosis and dystopia. CT demonstrated enhancing lesions with phleboliths and gadolinium-enhanced MRI showed characteristic hyperintense lesions. The asymptomatic right lesion was treated conservatively; the left lesion was excised following intralesional injection of cyanoacrylate. Bilaterality in orbital varices may not be obvious clinically and only diagnosed radiologically. A multidisciplinary approach involving the ophthalmologist and interventional radiologist using intraoperative fluoroscopy enabled accurate characterization, delineation, embolizationm, and excision of the lesion with good hemostatic control.
Tsai
Andrew S H
AS
Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Fong
Kee Siew
KS
Lim
Winston
W
Al Jajeh
Issam
I
Chuah
Chin Tek
CT
Rootman
Jack
J
D016461:Chemoembolization, Therapeutic / Q000379:methods*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D009915:Orbit / Q000098:blood supply*; D010690:Phlebography; D014057:Tomography, X-Ray Computed; D014648:Varicose Veins / Q000175:diagnosis / Q000628:therapy*; D055815:Young Adult