Optic neuropathy following endovascular coiling of an orbital varix

Orbit
Cindy S HwangMichael T Yen

Abstract

Orbital varices are vascular malformations consisting of abnormal venous channels. Indications for intervention include loss of vision, elevated orbital pressure with motility deficit, and intractable pain. We present a case of a 65-year-old woman with an orbital varix, who underwent embolization via endovascular coiling. This treatment resulted in an intralesional thrombosis with subsequent enlargement of the varix, leading to a compressive optic neuropathy and severe vision loss. If an intervention is to be contemplated, the possibility of this rare but serious complication should be carefully considered and patients appropriately counseled.

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Citations

Nov 5, 2013·American Journal of Ophthalmology·Ali MokhtarzadehHarry J Cloft
Jan 30, 2014·Annals of Occupational and Environmental Medicine·Young Il Lee, Byeong Jin Ye
Jul 1, 2015·Journal of Neurointerventional Surgery·Venu VadlamudiAlon Kahana
Nov 17, 2016·Survey of Ophthalmology·Kyle J GodfreyDon O Kikkawa
Dec 3, 2015·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Vivek SinghVikas Kanaujia

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