Inferior Ophthalmic Vein Varix Complicated by Acute Thrombosis

Abstract

Orbital venous varix is an uncommon venous malformation of the orbit, divided into primary and secondary types. Orbital varix most commonly involves the superior ophthalmic vein and is rarely complicated by thrombosis. We report a case of inferior ophthalmic vein varix complicated by acute thrombosis, who presented with acute visual loss and proptosis. Lateral cantholysis was performed and high-dose steroid was given to relieve the patient’s symptoms. The thrombus of the orbital varix gradually regressed in 1 month and completely resolved in 6 months.

Alternate abstract:

眼眶靜脈曲張是一種罕見的眼眶靜脈畸形，分為原發性和繼發性兩種。眼眶靜脈曲張一般累及眼上靜脈，很少併發血栓。本文報告一宗眼下靜脈曲張併發急性血栓的病例。患者以急性視力喪失伴眼球突出就診。為患者進行外側眦切開術，並給予高劑量類固醇以緩解症狀。眼眶靜脈曲張的血栓在一個月內逐步消退，直至六個月時內完全消失。