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Orbital varix with a pearly phlebolith. Case report.
Journal of Neurosurgery
|August 1, 1990
Summary
A rare orbital varix, a venous aneurysm of the superior ophthalmic vein, caused severe pain and ophthalmoplegia without proptosis in a patient. Surgical and histological findings confirmed the venous malformation and revealed a phlebolith.
Area of Science:
- Ophthalmology
- Vascular Surgery
- Radiology
Background:
- Orbital varices are uncommon vascular malformations.
- Superior ophthalmic vein involvement can present with varied symptoms.
Observation:
- A patient presented with ophthalmoplegia and severe orbital pain, notably without proptosis.
- Imaging studies, including computerized tomography and orbital phlebography, identified the orbital varix.
- Surgical exploration confirmed a venous aneurysm originating from the right superior ophthalmic vein.
Findings:
- Histological examination revealed multiple ectatic venous channels within the varix.
- A pearly phlebolith was discovered during surgical intervention.
- The clinical presentation was unusual, lacking typical proptosis associated with orbital vascular lesions.
Implications:
- This case highlights the diverse clinical spectrum of orbital varices.
- Understanding the etiology and management of such rare venous anomalies is crucial for effective patient care.
- Advanced imaging and surgical intervention are key in diagnosing and treating orbital venous aneurysms.