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An unusual case: bilateral orbital varices.
B Yazici1, Z Yazici, O Gelisken
1Department of Ophthalmology, Gorukle Bursa, Turkey.
Acta Ophthalmologica Scandinavica
|August 27, 1999
Summary
This case study highlights bilateral orbital varices, a rare condition causing orbital masses. Diagnosis required multiple imaging techniques, including CT scans during the Valsalva maneuver, to confirm the venous malformations.
Area of Science:
- Ophthalmology
- Radiology
- Vascular Surgery
Background:
- Orbital varices are rare congenital vascular malformations.
- They can present as orbital masses, often causing symptoms like pain and proptosis.
Observation:
- An 18-year-old male presented with bilateral orbital masses and pain exacerbated by bending forward.
- Initial magnetic resonance (MR) imaging was inconclusive, showing bilateral retrobulbar masses.
Findings:
- Computed tomography (CT) during a Valsalva maneuver was crucial for diagnosing orbital varices.
- Color Doppler ultrasonography (US) and digital subtraction venography confirmed a significant venous connection to the systemic circulation.
Implications:
- This case underscores the importance of dynamic imaging techniques in diagnosing rare orbital vascular lesions.
- Accurate diagnosis and understanding of the vascular connections are essential for appropriate management of orbital varices.