Recurrent orbital varices after surgical excision with and without prior embolization with n-butyl cyanoacrylate

Ali Mokhtarzadeh, James A. Garrity, Harry J. Cloft

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

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 languageEnglish (US)
Pages (from-to)447-450.e1
JournalAmerican journal of ophthalmology
Volume157
Issue number2
DOIs
StatePublished - 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.

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