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Orbital Venous Varices: A Rare Bilateral Asymptomatic Presentation
Alexandros Pappas1, Julio M Araque2, Vimal Sarup3
1Department of Ophthalmology, Howard University Hospital, Washington, D.C, USA.
Cureus
|February 2, 2019
Summary
This case report details asymptomatic bilateral orbital varices, a rare vascular condition. These were incidentally found during an investigation for other eye conditions in a 64-year-old male.
Area of Science:
- Ophthalmology
- Vascular Imaging
- Radiology
Background:
- Orbital varices are uncommon vascular malformations.
- Asymptomatic presentations are infrequently documented in medical literature.
Observation:
- A 64-year-old male presented with bilateral chorioretinal scars and optic nerve head drusen.
- Incidental finding of bilateral orbital varices during diagnostic imaging.
Findings:
- Magnetic resonance imaging (MRI) confirmed bilateral varices involving the inferior ophthalmic veins and pterygoid plexuses.
- The patient remained asymptomatic despite the presence of orbital varices.
Implications:
- Highlights the importance of thorough imaging interpretation for incidental findings.
- Contributes to the limited literature on rare, asymptomatic orbital vascular conditions.
- May inform diagnostic approaches for patients with unexplained visual symptoms or incidental orbital abnormalities.
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