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

Am J Ophthalmol. 2005 Nov;140(5):945-7. doi: 10.1016/j.ajo.2005.06.001.


Purpose: To report the use of computed tomographic angiography (CTA) to diagnose an orbital varix.

Design: Observational case report.

Methods: A 73-year-old female was investigated by CTA for carotid artery stenosis. An incidental orbital lesion was discovered. Reformations were obtained.

Results: 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.

Conclusions: 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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography / methods*
  • Female
  • Humans
  • Orbit / blood supply*
  • Orbit / diagnostic imaging
  • Tomography, X-Ray Computed*
  • Varicose Veins / diagnostic imaging*