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Orbital varix thrombosis.

J D Bullock1, S H Goldberg, P J Connelly

  • 1Department of Ophthalmology, Wright State University, School of Medicine, Dayton, OH 45409.

Ophthalmology
|February 1, 1990
PubMed
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Orbital varix thrombosis, a rare venous orbital disease, can cause proptosis. CT scans may mimic cavernous hemangiomas, highlighting the need for careful diagnosis of this condition.

Area of Science:

  • Ophthalmology
  • Vascular Surgery

Background:

  • Orbital venous diseases are uncommon and present diversely, including arteriovenous issues, thrombosis, and orbital varices.
  • Orbital varices, with or without thrombosis, represent a subset of these venous anomalies.

Observation:

  • Three patients presented with proptosis secondary to orbital varix thrombosis.
  • Symptoms like pain and diplopia varied in onset and severity among the patients.
  • Computed tomographic (CT) scans revealed lesions resembling cavernous hemangiomas in two patients.

Findings:

  • Orbital varix thrombosis is a rare cause of proptosis.
  • Diagnostic imaging, such as CT scans, can show features that may be confused with other orbital pathologies.
  • Clinical presentation, imaging, surgical findings, and histopathology are crucial for diagnosis.

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Implications:

  • Understanding the clinical and radiographic features of orbital varix thrombosis is essential for accurate diagnosis.
  • Further research into the pathophysiology may improve management strategies for this rare condition.
  • This study contributes to the literature on rare orbital vascular diseases.