Questions:
18. What is the cause of “orbital varices”?
19. What should be considered when a crying infant eye bulges?

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Questions with answers:
18. What is the cause of “orbital varices”?
Venous angiomas may occur in the orbit and are often called orbital varices. Clinical presentation is characteristic and results from intermittent filling and emptying of the varix, resulting in variable proptosis.

19. What should be considered when a crying infant eye bulges?
Consider orbital varix (venous angioma) when an eye bulges in a crying infant, there is proptosis during Valsalva maneuver or orbital ecchymoses.

The information below is from: Neuro-ophthalmology Illustrated-2nd Edition. Biousse V and Newman NJ. 2012. Theme

15.6 Orbital Varix

Venous angiomas may occur in the orbit and are usually called orbital varices (▶Fig. 15.17). Clinical presentation is characteristic and results from intermittent filling and emptying of the varix, resulting in variable proptosis.

Pearls
Consider orbital varix when there is eye bulging in a crying infant, proptosis during Valsalva maneuver, or orbital ecchymoses.

Reference: 1. Neuro-ophthalmology Illustrated-2nd Edition. Biousse V and Newman NJ. 2012. Theme

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