July 2018
Volume 59, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2018
Peripheral rim enhancement: a radiographic clue for diagnosis of thrombosed orbital varices
Author Affiliations & Notes
  • Connor Nathe
    Department of Ophthalmology, University of California, Irvine School of Medicine, Irvine, California, United States
  • Seanna R Grob
    Department of Ophthalmology, University of California, Irvine School of Medicine, Irvine, California, United States
    Gavin Herbert Eye Institute, University of California, Irvine, California, United States
  • Jeremiah Tao
    Department of Ophthalmology, University of California, Irvine School of Medicine, Irvine, California, United States
    Gavin Herbert Eye Institute, University of California, Irvine, California, United States
  • Kenneth Feldman
    Oculoplastic and Reconstructive Surgery, Kaiser Permanente South Bay Medical Center, Harbor City, California, United States
  • Footnotes
    Commercial Relationships   Connor Nathe, None; Seanna Grob, None; Jeremiah Tao, None; Kenneth Feldman, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science July 2018, Vol.59, 5625. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Connor Nathe, Seanna R Grob, Jeremiah Tao, Kenneth Feldman; Peripheral rim enhancement: a radiographic clue for diagnosis of thrombosed orbital varices. Invest. Ophthalmol. Vis. Sci. 2018;59(9):5625.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose : Thrombosed orbital varices are rare orbital lesions, and key clinical features can aid in clinical diagnosis and subsequent management. We performed a retrospective case series to report the characteristic clinical and imaging findings in a series of patients with thrombosed orbital varices.

Methods : Clinical findings of 4 patients with thrombosed orbital varices managed by the oculoplastic service were reviewed including symptoms and signs on presentation, characteristic imaging findings, and clinical course. All patients had orbital magnetic resonance imaging (MRI) with contrast.

Results : Four cases of orbital varices with acute thrombosis were identified. The mean age was 61.5 (range: 38-79 years) without a predisposition for gender. All patients presented with symptoms of acute pain. Other presenting symptoms and signs included pressure (1/4), diplopia (1/4), blurry vision (1/4) and proptosis (2/4). 1 of 4 patients showed clinical changes with Vasalva maneuver. CT imaging showed an orbital mass in all cases, but each case had variable radiographic features with CT imaging. All cases revealed a characteristic magnetic resonance imaging (MRI) finding of peripheral rim enhancement of the orbital soft tissue lesion. All patients were observed over time and had improvement in symptoms. One patient had two episodes of acute pain with similar imaging findings that resolved without intervention.

Conclusions : Patients with thrombosed orbital varices often present with acute pain and have a characteristic imaging finding on orbital MRI of peripheral rim enhancement. These key features can assist with the clinical diagnosis of a thrombosed orbital varix and aid in further clinical management.

This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.

×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×