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Blindness from orbital varices: case report.

Isabella T Phan1, William F Hoyt, Timothy J McCulley

  • 1University of California, San Francisco, Department of Ophthalmology, School of Medicine, San Francisco, CA 94143-0730, USA.

Orbit (Amsterdam, Netherlands)
|October 31, 2009
PubMed
Summary
This summary is machine-generated.

Orbital varices, vascular malformations in the eye socket, can cause severe vision loss. This case highlights the potential for sudden vision deterioration and permanent damage from these rare conditions.

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Area of Science:

  • Ophthalmology
  • Vascular Malformations
  • Neuro-ophthalmology

Background:

  • Orbital varices are rare, benign vascular malformations that can present with varied clinical manifestations.
  • A 41-year-old woman with a 21-year history of a left orbital mass experienced recurrent episodes of proptosis and vision loss.

Observation:

  • The patient reported three episodes of sudden proptosis, periorbital bruising, pain, nausea, and vomiting.
  • Examination revealed ipsilateral enophthalmos and proptosis upon Valsalva maneuver.
  • Magnetic resonance imaging (MRI) confirmed a left orbital apex malformation consistent with a varix.

Findings:

  • Despite spontaneous resolution of acute symptoms, the patient experienced persistent vision loss.
  • The left eye showed no light perception with end-stage optic atrophy.

Implications:

  • This case underscores the potential for significant and irreversible visual impairment secondary to orbital varices.
  • Early diagnosis and management are crucial to prevent severe visual consequences.
  • Orbital varices should be considered in the differential diagnosis of recurrent proptosis and vision loss.