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Orbital Varix


Presentation

  • Abstract A 39-year-old woman presented with a vermiform superior conjunctival mass that progressively enlarged during 4 years of follow-up.[ncbi.nlm.nih.gov]
  • A 45-year-old man presented with precipitous loss of vision and rapidly changing field defects in one eye. Computerized tomography and B-scan ultrasonography revealed a small orbital mass adjacent to the optic nerve.[ncbi.nlm.nih.gov]
  • We present a case of a 65-year-old woman with an orbital varix, who underwent embolization via endovascular coiling.[ncbi.nlm.nih.gov]
  • The present authors describe a case of proptosis in the left eye of a 45-year-old man. CT-scan and HPE supported the diagnosis of a thrombosed orbital varix.[ncbi.nlm.nih.gov]
  • AU - Kahana,Alon PY - 2016/8/1 Y1 - 2016/8/1 N2 - An orbital venous varix is rare and can present with diplopia, proptosis, or hemorrhage.[experts.umich.edu]
Soft Tissue Mass
  • A CT scan of the orbits demonstrated a serpiginous soft tissue mass within the superior portion of the right orbit, consistent with a thrombosed orbital varix. Conservative management was agreed with prism glasses and ophthalmological follow-up.[ncbi.nlm.nih.gov]
  • Fine cut contrast-enhanced CT scans usually show ill-defined, heterogeneous multiloculated enhancing soft tissue mass(es) with connections to the orbital and extraorbital circulation.[surgicalneurologyint.com]
  • Figure 1 (a) T1-weighted coronal view showing an intracoronal large serpiginous soft tissue mass involving the superior aspect of the right orbit (black arrow).[nature.com]
  • Palpate the orbital rim, soft tissues, masses (note location, shape and size). Check for a globe pulsation or thrill (with the bell of the stethoscope over the closed eye). Check eye movements.[patient.info]
Fishing
  • Selenium is found in foods including nuts, meats, fish, poultry, eggs, dairy products and whole grains. Typically, diet alone provides more than the recommended dietary allowance of 55 mcg.[articles.chicagotribune.com]
Blepharospasm
  • The clinical signs in touch with the uncomplicated orbital varix veins are few mainly intermittent and positional exophthalmitis, often painful, or a blepharospasm.[panafrican-med-journal.com]
Cutaneous Manifestation
  • A 57-year-old woman with cutaneous manifestations of (BRBNS) presented with acute left proptosis and venous congestion secondary to thrombosis within a superior ophthalmic vein varix.[ncbi.nlm.nih.gov]

Workup

  • […] this workup is completed and negative may the patient be considered to have idiopathic elevated EVP.[eyewiki.org]
  • Diagnosis, Workup and Treatment The presentation of painless proptosis in a teenager can represent infectious, inflammatory or neoplastic processes.[reviewofophthalmology.com]
  • Laboratory workup was negative aside from positive toxoplasma IgG antibodies.[cureus.com]

Treatment

  • Because orbital varix treatment is the treatment of a rare vascular orbital tumor disease, chances are that only a few doctors like Dr. Debraj Shome at The Esthetic Clinics will be available with experience in orbital varix treatment.[oculoplastic-eyelid-orbit-surgery.com]
  • The etiology of this unusual clinical manifestation and the treatment of the patient are briefly discussed.[ncbi.nlm.nih.gov]
  • This treatment resulted in an intralesional thrombosis with subsequent enlargement of the varix, leading to a compressive optic neuropathy and severe vision loss.[ncbi.nlm.nih.gov]
  • This method of treatment has the advantage of limiting traumatic dissection and avoiding difficult venous catheterization.[ncbi.nlm.nih.gov]
  • This method of treatment has the advantage of image-guided localization of the pathology, real-time management and confirmation of the success of the procedure in the sitting.[ncbi.nlm.nih.gov]

Prognosis

  • […] hypointense c.f. extraocular muscles If thrombosis is present the imaging is more variable: T1: heterogeneous with areas of high signal (see aging of blood on MRI ) T2: heterogeneous with areas of high signal (see aging of blood on MRI ) Treatment and prognosis[radiopaedia.org]
  • Prognosis is very poor. Metastases : In children the orbit may be the site of secondary deposits from neuroblastoma or acute leukaemia.[patient.info]

Etiology

  • The etiology of this unusual clinical manifestation and the treatment of the patient are briefly discussed.[ncbi.nlm.nih.gov]
  • The patient had sustained facial trauma two years previously and a post-traumatic etiology is postulated. The patient's clinical, physical and radiologic findings are discussed, and the characteristic features of orbital varices are reviewed.[jhu.pure.elsevier.com]
  • The etiology of orbital varicosities is unknown and the literature is sparse. They are most commonly asymptomatic.[panafrican-med-journal.com]
  • Courtesy of Michael Migliori, MD Etiology Orbital varices are venous malformations of the orbit, vascular hamartomas. [1] [2] They consist of a plexus of thin-walled distensible low flow vein-like vessels that are commonly intrinsic to the normal circulation[eyewiki.aao.org]

Epidemiology

  • Epidemiology: Orbital varix, being a very uncommon condition, constitutes for approximately 1.3% of all orbital tumours.[oculoplastic-eyelid-orbit-surgery.com]
  • Michael Migliori, MD Etiology Orbital varices are venous malformations of the orbit, vascular hamartomas. [1] [2] They consist of a plexus of thin-walled distensible low flow vein-like vessels that are commonly intrinsic to the normal circulation. [3] Epidemiology[eyewiki.aao.org]
  • Definition, epidemiology and pathogenesis of hPIDs Primary Immunodeficiencies (PIDs) are genetically determined conditions characterized by impaired development and/or functioning of the immune system.[posterng.netkey.at]
Sex distribution
Age distribution

Pathophysiology

  • The clinical, radiographic, surgical, and histopathologic features of this entity are described and discussed and a hypothesis is proposed to explain the pathophysiology of orbital varix thrombosis.[ncbi.nlm.nih.gov]
  • A pathophysiologic mechanism has been proposed and this entity has been placed in the spectrum of orbital vascular lesions. Recommendations for the diagnostic evaluation and management of patients with thrombosed orbital varices have been offered.[ncbi.nlm.nih.gov]
  • The pathophysiology of these latter headaches could be related to congestion and dilation of cerebral venous sinuses and large veins [ 6 ]. We present a postural headache related to an orbital varix.[jneuro.com]
  • In Diseases of the Orbit: Pathophysiologic Patterns of Orbital Disease, Anatomic Patterns of Orbital Disease, Pathophysiologic Approach to Clinical Analysis of Orbital Disease, Investigation of Orbital Disease and its Effect on Function. J.B.[csops.com]
  • An analysis of thirty cases of orbital lymphangioma: pathophysiologic considerations and management recommendations . Ophthalmology 1990; 97 : 1583–1592. 4. Suzuki Y , Obana A , Gohto Y , Miki T , Otuka H , Inoue Y .[nature.com]

Prevention

  • For now, selenium supplements are not recommended as a preventive measure for prostate cancer. -- Adapted from the Mayo Clinic Health Letter ----------- Medical Edge from Mayo Clinic is an educational resource and doesn't replace regular medical care.[articles.chicagotribune.com]
  • Patient care Bleeding esophageal varices constitute a medical emergency, requiring immediate treatment to control hemorrhage and prevent hypovolemic shock.[medical-dictionary.thefreedictionary.com]
  • Therefore, primary- prevention of the first episode of bleeding is very important. Varice Carl is on Facebook. Arterio- venoase cerebrale anevrisme localizate la nivelul arterelor.[xuyysafurokawek.gq]
  • She was started on prednisone 20 mg twice daily as well as erythromycin ointment and artificial tears to prevent exposure keratopathy.[reviewofophthalmology.com]
  • […] authors recommend sclerotomies with filtering surgery. [4] [22] Laser trabeculoplasty has shown not to be beneficial. [3] One case report recommends performing a "tight" trabeculectomy with multiple releasable sutures to titrate the IOP gradually and prevent[eyewiki.org]

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