Orbital varix thrombosis: a rare cause of unilateral proptosis.
Orbital varices are thin walled, low flow, distensible veins which may rarely present with periorbital pain, proptosis or visual loss. Most orbital varices may be managed conservatively and only warrant surgery in the presence of recurrent thrombosis, disfiguring proptosis or acute visual loss. This report concerns an 84-year-old Caucasian woman who was admitted following a fall and noted to have isolated proptosis of the right eye, with vertical diplopia. All biochemical and haematological investigations were normal. A CT scan of the orbits demonstrated a serpiginous soft tissue mass within the superior portion of the right orbit, consistent with a thrombosed orbital varix. Conservative management was agreed with prism glasses and ophthalmological follow-up.
Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, Norfolk, UK. ryckiewade@gmail.com
Ryckie George
RG
Wade
Thomas B
TB
Maddock
Srinivasan
S
Ananth
D000369:Aged, 80 and over; D004172:Diplopia / Q000209:etiology / Q000628:therapy; D005094:Exophthalmos / Q000209:etiology*; D005260:Female; D006801:Humans; D009915:Orbit / Q000098:blood supply*; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014648:Varicose Veins / Q000150:complications* / Q000000981:diagnostic imaging