Abstract
Purpose To report a series of 4 recurrent orbital varices after resection, 2 of which were embolized with cyanoacrylate glue before surgery. Design Retrospective case series. Methods Charts of all patients seen by a single orbital surgeon from January 1986 through June 2013 with presumed or histologically confirmed orbital varix were reviewed retrospectively. Four patients were identified with recurrence of symptoms after resection of the varix, 2 after embolization with n-butyl cyanoacrylate and 2 via a right frontal craniotomy. Each had initial complete resolution of their symptoms followed by recurrence to a lesser degree. Characteristics and common features in each case were reviewed. Results After initial resection, these 4 patients had recurrence of their symptoms within 8 months to 12 years. A common feature among them included an active lifestyle involving significant heavy lifting. Conclusions Orbital varices may be recurrent, even after n-butyl cyanoacrylate embolization, with repeated Valsalva-type maneuvers.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 447-450.e1 |
| Journal | American journal of ophthalmology |
| Volume | 157 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 2014 |
Bibliographical note
Funding Information:All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported. Supported by Research to Prevent Blindness, Inc, New York, New York. The funding organization had no role in the design or conduct of this research. Involved in Design and conduct of study (A.M., J.A.G.); Collection (A.M., J.A.G.), management (J.A.G., H.J.C.), analysis (A.M., J.A.G.), and interpretation (A.M., J.A.G.) of data; and Preparation (A.M., J.A.G.), review (A.M., J.A.G., H.J.C.), or approval (A.M., J.A.G., H.J.C.) of manuscript.