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[Residual left orbital phlebolith. An anatomic-clinical observation]
F D'hermies1, T Hurbli, O Berges
1Service d'Ophtalmologie, Hôtel-Dieu, 1, place du Parvis Notre-Dame, F-75181 Paris Cedex 04.
Journal Francais D'Ophtalmologie
|June 9, 2000
Summary
A phlebolith, a calcified blood clot, presented as a dense orbital mass three years after treatment for an orbital varix. Surgical removal via a transconjunctival approach yielded excellent results for this rare orbital finding.
Area of Science:
- Ophthalmology
- Vascular Surgery
- Pathology
Background:
- Orbital masses can present diagnostic challenges, requiring thorough evaluation.
- Orbital varices are congenital vascular malformations that may require surgical intervention.
- Phleboliths are calcified venous thrombi, typically found in pelvic veins, but rarely in orbital locations.
Observation:
- A 29-year-old female presented with a dense, hard, inferior left orbital mass.
- The mass was noted three years post-neurosurgical treatment for a left orbital varix.
- Computed tomography (CT) scan revealed a hyperdense lesion in the orbit.
Findings:
- The orbital mass was surgically excised using a transconjunctival approach.
- Histopathological examination confirmed the diagnosis of a phlebolith.
- The patient experienced an excellent post-operative outcome.
Implications:
- This case highlights the rare occurrence of phleboliths within the orbit, potentially mimicking other orbital pathologies.
- Accurate diagnosis and appropriate surgical management are crucial for favorable outcomes in orbital mass cases.
- Understanding the potential for venous calcifications in the orbit post-varix treatment is important for clinicians.