Orbital Varix Thrombosis Following Surgical Prone Positioning for Spinal Decompression

Khan, Tanya; Hariri, Adham B. al

doi:10.3109/01676830.2013.764454

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…Nonresolving orbital varix thrombosis or repeated episodes of thrombosis are also candidates for surgical intervention. [8][9][10][11] Our patient was clinically and radiologically diagnosed with symptomatic bilateral orbital varices, which indicated a need for intervention. Diagnostic angiography was performed to exclude the concurrence of abnormal intracranial and orbital high-flow connections.…”

Section: Discussionmentioning

confidence: 82%

“…5 Orbital varix thrombosis and hemorrhage are potential complications that can lead to the sudden onset of painful proptosis and visual loss. [7][8][9][10][11] Our patient had the uncommon clinical manifestations of preexisting undiagnosed bilateral symptomatic orbital varices, which were complicated by unilateral acute painful proptosis secondary to orbital varix thrombosis.…”

Section: Discussionmentioning

confidence: 86%

See 1 more Smart Citation

Acute unilateral orbital varix thrombosis in preexisting bilateral orbital varices: illustrative case

Pichayawat,

Chokthaweesak,

Leelawongs

et al. 2023

Journal of Neurosurgery: Case Lessons

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OBJECTIVE Orbital varix is a rare distensible orbital venous malformation. Most patients present with unilateral intermittent periorbital pain and positional proptosis that is exacerbated by the Valsalva maneuver. Complications include hemorrhage and thrombosis, leading to sudden painful proptosis and visual disturbance. OBSERVATIONS A 42-year-old female with a history of bilateral intermittent painless proptosis that was accentuated by a postural head-down position presented with acute painful proptosis in her right eye. Ophthalmic examination revealed right eye proptosis with a bluish mass at the right upper eyelid, and another bluish mass at the left lower eyelid that was prominent during the Valsalva maneuver. Computed tomography scans of the orbits indicated right orbital varix thrombosis and left orbital varix. Surgical excision of the right thrombosed varix was performed along with intralesional bleomycin injection in the left orbital varix. Histopathological examination confirmed the right thrombosed varix diagnosis. The patient had good clinical improvement at the 6-month follow-up. LESSONS Orbital varices have a spectrum of clinical manifestations, from asymptomatic to severe visual loss. Most cases are successfully treated conservatively; however, in complicated cases, interventions with a multidisciplinary team approach such as sclerotherapy, embolization, and surgical excision should be considered.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 86%

Acute unilateral orbital varix thrombosis in preexisting bilateral orbital varices: illustrative case

Pichayawat,

Chokthaweesak,

Leelawongs

et al. 2023

Journal of Neurosurgery: Case Lessons

View full text Add to dashboard Cite

show abstract

“…The main determinant of intraoperative management of patients with orbital varices is stage of surgery and the patient position. In positions like Trendelenburg or the prone position, which provoke proptosis, a faster surgery if possible, methylprednisolone for edema 12 and maneuvers to lower intracranial pressure (reverse Trendelenburg position), avoiding drugs which increase intraocular pressure (succinylcholine, ketamine), establishing deep anesthesia, and avoiding high airway pressures will be beneficial. Extubation under deep anesthesia and avoiding coughing are advised.…”

Section: Discussionmentioning

confidence: 99%

An Eye-Popping Experience Immediately After Intubation: A Case Report

Köksoy

Yılmaz²,

Kazbek³

et al. 2021

A&A Practice

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This case presents and discusses a case of unilateral proptosis immediately following intubation in a patient who underwent laparoscopic ventral hernia repair under general anesthesia. The patient developed a right-sided proptosis following intubation when noninvasive blood pressure was measured as 167/111 mm Hg. The operation was postponed, and anesthesia was terminated. Proptosis resolved spontaneously following extubation. To the best of our knowledge, there is no case report of proptosis secondary to intubation. The aim of this report is to increase the awareness of rare complications caused by intubation, especially ocular complications, and to underline the importance of preoperative evaluation.

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Simultaneous Bilateral Thrombosed Orbital Varices: A Case Report

Arun

Peter

2019

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Orbital varices are thin-walled venous structures that are asymptomatic in most individuals. Sometimes thrombosis of an orbital varix is the initial presentation of a previously unknown orbital varix. The authors present a case of a 47-year-old male who presented with sudden onset of pain and proptosis of his right eye over a period of 2–3 hours, possibly secondary to asphyxiation. A CT scan of the orbits revealed bilateral orbital masses in the posterior inferior orbit consistent with thrombosed orbital varix. A follow-up CT scan 3 weeks later confirmed the diagnosis. Conservative management led to complete resolution of symptoms. The authors describe a case report of simultaneous bilateral thrombosed orbital varices secondary to asphyxiation.

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Orbital Varix Thrombosis Following Surgical Prone Positioning for Spinal Decompression

Abstract: Orbital varix is a rare venous malformation within the orbit that is especially susceptible to thrombosis and hemorrhage. We report a unique case of vision-threatening orbital varix thrombosis resulting from prolonged prone positioning during an orthopedic spine procedure.

Cited by 4 publications

References 3 publications

Acute unilateral orbital varix thrombosis in preexisting bilateral orbital varices: illustrative case

Acute unilateral orbital varix thrombosis in preexisting bilateral orbital varices: illustrative case

An Eye-Popping Experience Immediately After Intubation: A Case Report

Simultaneous Bilateral Thrombosed Orbital Varices: A Case Report

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