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Orbital varix thrombosis.

J D Bullock1, S H Goldbert, P J Connelly

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

Transactions of the American Ophthalmological Society
|January 1, 1989
PubMed
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This study details three cases of thrombosed orbital varices, outlining their clinical, imaging, and pathological features. It proposes a mechanism and management strategies for this rare orbital vascular lesion.

Area of Science:

  • Ophthalmology
  • Vascular Surgery
  • Pathology

Background:

  • Orbital varices are congenital vascular malformations that can present with various symptoms.
  • Thrombosis within an orbital varix is a rare complication, leading to acute presentation.

Observation:

  • Three patients presented with symptoms suggestive of a thrombosed orbital varix.
  • Clinical examination revealed signs of acute orbital congestion and mass effect.
  • Imaging studies, including CT and MRI, were crucial for diagnosis.

Findings:

  • Histopathologic examination confirmed the presence of organized thrombus within the varix.
  • A proposed pathophysiologic mechanism explains the development of thrombosis.
  • The thrombosed orbital varix was characterized within the spectrum of orbital vascular lesions.

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Implications:

  • Accurate diagnosis through imaging is essential for appropriate management.
  • Surgical intervention may be necessary for symptomatic relief and prevention of complications.
  • Understanding the pathophysiology aids in managing this rare orbital vascular condition.