Orbital varix: A rare case of unilateral exophthalmos, case report

Issiaka, Moctar; Jamaleddine, Hamza; Belhadji, M. El; Iro, Salissou; Slimani, Faiçal

doi:10.1016/j.amsu.2021.102346

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…[3] Reports of a thrombosed orbital varix are scarce in scientific literature. Few cases have been described, [1,2,7] which makes it challenging for clinicians to identify and appropriately manage. Our case is one of very few to describe progressive unilateral proptosis caused by a thrombosed varix of the inferior ophthalmic vein.…”

Section: Discussionmentioning

confidence: 99%

Thrombosed orbital varix of the inferior ophthalmic vein: A rare cause of acute unilateral proptosis

Abdelsalam,

Ramsay,

Ehiemua

et al. 2023

Surgical Neurology International

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Background: Orbital varices are rare, accounting for only 0–1.3% of orbital masses. They can be found incidentally or cause mild to serious sequelae, including hemorrhage and optic nerve compression. Case Description: We report a case of a 74-year-old male with progressively painful unilateral proptosis. Imaging revealed the presence of an orbital mass compatible with a thrombosed orbital varix of the inferior ophthalmic vein in the left inferior intraconal space. The patient was medically managed. On a follow-up outpatient clinic visit, he demonstrated remarkable clinical recovery and denied experiencing any symptoms. Follow-up computed tomography scan showed a stable mass with decreased proptosis in the left orbit consistent with the previously diagnosed orbital varix. One-year follow-up orbital magnetic resonance imaging without contrast showed slight increase in the intraconal mass. Conclusion: An orbital varix may present with mild to severe symptoms and management, depending on case severity, ranges from medical treatment to escalated surgical innervation. Our case is one of few progressive unilateral proptosis caused by a thrombosed varix of the inferior ophthalmic vein described in the literature. We encourage further investigation into the causes and epidemiology of orbital varices.

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Section: Discussionmentioning

confidence: 99%

Thrombosed orbital varix of the inferior ophthalmic vein: A rare cause of acute unilateral proptosis

Abdelsalam,

Ramsay,

Ehiemua

et al. 2023

Surgical Neurology International

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“…Вторичный ОВВ встречается в сочетании с венозными ангиомами [13]. Варикозное расширение ВГВ встречается крайне редко (2% от всех образований орбиты), может вызывать экзофтальм и отек периорбитальных мягких тканей [6]. Дифференциальная диагностика варикозного расширения вен орбиты [13], варикоцеле выполняется в отношении артериовенозной мальформации, лимфангиомы [14].…”

Section: Discussionunclassified

“…Симптоматика заставляет дифференцировать патологию с интраорбиталь-ными образованиями, в чем помогает МСКТсканирование с контрастным усилением [5]. Варикозное расширение ВГВ, являясь редким заболеванием (2% от всех образований орбиты), играет роль дополнительного образования в орбите, вызывая экзофтальм и отек периорбитальных мягких тканей [6].…”

Section: Introductionunclassified

Clinical case of 9-month observation of orbital venous varicose with intraluminal thrombus using radiologic methods

Semenov,

Malkov,

Shatokhina

et al. 2023

Medicinskaâ vizualizaciâ

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A rare clinical case of thrombosis of varicose superior ophthalmic vein in combination with a unilateral venous anomaly of the subcortical region of the brain with successful antithrombotic therapy is presented. Varicose veins of the superior ophthalmic vein are rare (2% of all orbital formations) and are a risk factor for thrombosis.Material and methods. A 41-year-old patient with verified thrombosis of unilateral orbital venous varicose veins was observed for 9 months. Initially, MSCT of the brain and MSCT angiography were performed, then dynamic monitoring was carried out by performing MRI of the brain and MR venography, and finally an ultrasound examination of the orbit was performed.Description of a clinical case. The clinical presentation consisted of a slight non-pulsatile unilateral exophthalmos, mild ptosis, periorbital soft tissue edema, subconjunctival hemorrhage, paraorbital hematoma, and venous dysfunction in the fundus. MSCT and MSCT angiography revealed a thrombus inside the sac of orbital venous varicose veins. The disease was probably secondary in nature, given that it was combined with venous angioma of the subcortical region on the same side. During 9 months of observation, to monitor the effectiveness of therapy, MRI was performed three times before and after contrast enhancement, which showed a gradual decrease in exophthalmos, the size of the thrombus and the varicocele sac, which was accompanied by a gradual improvement in the clinical picture until subjective recovery.Conclusion. MRI was as good an imaging modality as MSCT, and, in our opinion, more preferable due to the absence of radiation exposure and the need for iodine contrast agent.

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Orbital varix: A rare case of unilateral exophthalmos, case report

Cited by 2 publications

References 6 publications

Thrombosed orbital varix of the inferior ophthalmic vein: A rare cause of acute unilateral proptosis

Thrombosed orbital varix of the inferior ophthalmic vein: A rare cause of acute unilateral proptosis

Clinical case of 9-month observation of orbital venous varicose with intraluminal thrombus using radiologic methods

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