Diagnosis and anatomic mapping of an orbital varix by computed tomographic angiography.

White, Jeremy H; Fox, Allan J; Symons, Sean P · Am J Ophthalmol · 2005

case_report · Level V

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Abstract

To report the use of computed tomographic angiography (CTA) to diagnose an orbital varix. Observational case report. A 73-year-old female was investigated by CTA for carotid artery stenosis. An incidental orbital lesion was discovered. Reformations were obtained. CTA demonstrated a homogeneously enhancing orbital apex lesion. It provided exceptional anatomic detail of inflow and outflow veins, confirming the diagnosis of an orbital varix. CTA is cost effective, fast, non-invasive, and readily available. These aspects combined with the exceptional vascular detail obtained may make CTA the primary test for orbital varix diagnosis.

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