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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Orbital venous anomaly presenting with orbital hemorrhage
1Department of Ophthalmology, Hallym University Sacred Heart Hospital, Anyang, Korea.
Japanese Journal of Ophthalmology
|September 19, 2009
Summary
Orbital venous anomalies can mimic tumors when presenting with acute hemorrhage. Prompt orbital MRI and follow-up CT scans are crucial for accurate diagnosis and avoiding unnecessary surgery.
Area of Science:
- Ophthalmology
- Radiology
- Vascular Malformations
Background:
- Orbital venous anomalies are rare vascular malformations.
- Acute orbital hemorrhage can obscure the underlying diagnosis.
Purpose of the Study:
- To characterize patients with orbital venous anomaly presenting with acute orbital hemorrhage.
- To differentiate orbital venous anomaly from orbital tumors in acute settings.
Main Methods:
- Retrospective case series of eight patients.
- Review of clinical and radiological findings.
- Analysis of orbital computed tomography (CT) and magnetic resonance imaging (MRI).
Main Results:
- Eight patients (7 female, 1 male; age 7-66) presented with acute orbital hemorrhage.
- All patients were asymptomatic before presentation.
- Imaging revealed a well-demarcated ovoid mass, initially suspected as a tumor.
- Orbital MRI identified hemorrhage; follow-up CT showed a distensible anomaly after resolution.
Conclusions:
- Orbital venous anomaly with hemorrhage can be misdiagnosed as an orbital tumor.
- Orbital MRI is essential for detecting hemorrhage in acute orbital processes.
- Follow-up CT after hemorrhage resolution aids in diagnosing orbital venous anomaly and prevents unnecessary surgery.
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