Clinical and Imaging Findings in Multifocal Orbital Vascular Lesions: A Case Series

Abstract

Introduction: A variety vascular disorders can affect the orbit, often manifesting as solitary space-occupying lesions. This study presents a case series of 3 patients with multi-focal orbital vascular conditions emphasizing on the clinical and imaging findings which could assist in the diagnosis and treatment planning.

Methods: Retrospective consecutive case series of 3 patients with multifocal orbital vascular conditions treated at the Department of Ophthalmology of the University Hospital of Heraklion, in Crete, Greece.

Results: Presenting symptoms included diplopia with compensatory head tilt (1 case) and eyelid protrusion enhanced by Valsalva maneuver (2 cases). MRI and CT studies showed multiple contrast-enhancing vascular lesions, associated with calcifications (1 case). Two lesions were surgically removed, proving to be orbital varices.

Conclusions: Orbital vascular lesions may present multi-focally and displace adjacent structures. MRI and CT imaging may reveal their multi-focal presence as well as associated features, such as phleboliths.

KEYWORDS::

• orbital vascular lesion
• varix
• phlebolith
• magnetic resonance imaging
• computed tomography

ACKNOWLEDGMENTS

Declaration of Interest: None for all authors.