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An orbital varix is an abnormally enlarged, thin walled vein that is in direct communication with the normal orbital vessels. Orbital varices can be primary (most likely present from birth and confined to the orbit) or secondary (acquired due to increased blood flow in association with additional venous malformations elsewhere in the body). Symptoms such as intermittent double vision (diplopia) or bulging eyes (proptosis), pain and/or orbital bleeding (hemorrhage) may be brought on by stooping, bending, coughing or straining. Small lesions are managed through observation. Larger lesions may require surgery.
Source: GARD Last updated on 05-01-20
Most people with orbital varices experience little too few symptoms and require no treatment. Occasionally progressive eye pain, eye bulging, compression of the optic nerve, vision loss and/or disfigurement develops and prompts treatment.
There are no well established guidelines for treatment. Treatment is individually tailored to the patient. People seeking treatment for obital varices benefit from a consultation with a team of doctors, such as an opthalmologist, neurosurgeon, and/or neurointerventional radiologist. Treatment with electrothrombosis (the use of an electrical current to block blood flow to the varix), stereotactic gamma knife radiosurgery, sclerotherapy, surgical resection, and embolization (blocking of blood flow through the varix) with cyanoacrylate glue followed by excision have been described in the medical literature.
Last updated on 05-01-20
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