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Postural ocular pain due to orbital varix

Primary orbital varices are infrequent congenital vascular abnormalities resulting from the pathological enlargement of one or more venouschannels of the orbit. We report a patient suffering ocular pain that appeared when the patient was bending over or lying.A 68 years-old woman consulted in our office because of an ocular pain that appeared when the patient was bending over or lying. Therewas no proptosis and neuro-ophthalmological examination including pupils’ reflexes, ocular mobility and visual acuity was normal. Thepatient was evaluated by computed tomography examination which revealed a faintly, enhancing lesion in the left inferomedial retrobulbararea.The clinical presentation of primary orbital varices typical presents with exophthalmos that becomes evanescent in dependent positionsand in certain situations that increase intraorbital pressure. However, in patients suffering from bending over and lying ocular pain wemust suspect orbital varices even without positional exophthalmos.


I Casanova-Peno , L Gamez-Vicente , ML Cuadrado , J Porta Etessam

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