title: The glue that holds the situation together.
abstract: A 48-year-old man presented with a longstanding left upper eyelid mass that increased in size when bending forward. The mass was associated with enophthalmos and slowly increased in size with Valsalva maneuver. Magnetic resonance imaging and arteriography demonstrated a vascular malformation without an abnormal arterial component. Because of his increasing pain, the vascular malformation was excised in a multidisciplinary approach involving intraoperative fluoroscopic mapping, cyanoacrylate embolization, and surgical excision. Histopathology was consistent with a benign vascular malformation. Clinically, this was a low-flow, distensible venous malformation-or orbital varix.
authors.affiliation: Division of Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology, Shiley Eye Institute, University of California San Diego, La Jolla California, USA.
authors.forename: Kyle J
authors.initials: KJ
authors.lastname: Godfrey
authors.affiliation: Division of Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology and Visual Neurosciences and Otolaryngology, University of Minnesota, Minneapolis, Minnesota, USA.
authors.forename: Andrew R
authors.initials: AR
authors.lastname: Harrison
authors.affiliation: Division of Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology, Shiley Eye Institute, University of California San Diego, La Jolla California, USA.
authors.forename: Bobby S
authors.initials: BS
authors.lastname: Korn
authors.affiliation: Division of Oculofacial Plastic and Reconstructive Surgery, Department of Ophthalmology, Shiley Eye Institute, University of California San Diego, La Jolla California, USA. Electronic address: dkikkawa@ucsd.edu.
authors.forename: Don O
authors.initials: DO
authors.lastname: Kikkawa
mesh_terms: D000269:Adhesives; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000098:blood supply*; D009916:Orbital Diseases / Q000175:diagnosis / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D054079:Vascular Malformations / Q000175:diagnosis / Q000628:therapy*
chemical_list: D000269:Adhesives
keywords: cyanoacrylate embolization; orbital varix; orbital vascular malformation