TY - JOUR T1 - Orbital varix thrombosis: a rare cause of unilateral proptosis JF - BMJ Case Reports DO - 10.1136/bcr-2012-007935 VL - 2013 SP - bcr2012007935 AU - Ryckie George Wade AU - Thomas B Maddock AU - Srinivasan Ananth Y1 - 2013/01/25 UR - http://casereports.bmj.com/content/2013/bcr-2012-007935.abstract N2 - Orbital varices are thin walled, low flow, distensible veins which may rarely present with periorbital pain, proptosis or visual loss. Most orbital varices may be managed conservatively and only warrant surgery in the presence of recurrent thrombosis, disfiguring proptosis or acute visual loss. This report concerns an 84-year-old Caucasian woman who was admitted following a fall and noted to have isolated proptosis of the right eye, with vertical diplopia. All biochemical and haematological investigations were normal. A CT scan of the orbits demonstrated a serpiginous soft tissue mass within the superior portion of the right orbit, consistent with a thrombosed orbital varix. Conservative management was agreed with prism glasses and ophthalmological follow-up. ER -