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[Orbital varix presenting with enophthalmos. A case report]
A Aydin1, M Velioglu, D Ersanli
1Service d'ophtalmologie, hôpital d'éducation de Haydarpasa, académie militaire de médecine de Gulhane, Uskudar, Istanbul, Turquie. aliaydin67@hotmail.com
Journal Francais D'Ophtalmologie
|May 11, 2010
Summary
A rare case of enophthalmos, or inward eye sinking, was diagnosed as an orbital varix, a vascular anomaly. This finding is unusual as orbital varices typically cause outward eye protrusion (exophthalmos).
Area of Science:
- Ophthalmology
- Vascular Surgery
- Radiology
Background:
- Orbital varix is a rare vascular anomaly, comprising 2% of orbital tumors.
- Typically presents as intermittent exophthalmos or orbital hemorrhages.
Observation:
- A 23-year-old patient presented with enophthalmos (inward eye sinking) of the left eye.
- Ophthalmologic examination revealed a 3-mm enophthalmos and intermittent proptosis during the Valsalva maneuver.
- Orbital imaging identified a retroocular vascular lesion.
Findings:
- Carotid arteriography confirmed a vascular tumor, presumed to be an orbital varix.
- Ultrasound Doppler showed a non-echogenic lesion increasing in volume with Valsalva.
- The patient was diagnosed with orbital varix presenting atypically with enophthalmos.
Implications:
- This case highlights the rare presentation of enophthalmos secondary to orbital varix.
- Conservative management was chosen due to the absence of complications.
- Understanding atypical presentations is crucial for accurate orbital lesion diagnosis.
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