Unique Presentation of Pediatric Orbital Varix.

Ophthalmic Plast Reconstr Surg

Department of Ophthalmology, University of Kentucky College of Medicine, Lexington, Kentucky, U.S.A.

Published: January 2025

AI Article Synopsis

  • A 2-year-old girl developed a growing bruise-like mass in her eye socket months after an orbital injury, which was diagnosed through CT imaging as possible soft tissue contusion or hematoma.
  • Surgical removal was performed, and lab tests revealed it was an orbital varix, showing CD34+ endothelium.
  • This case is unique as it represents the first documented instance of posttraumatic orbital varix formation in children.

Article Abstract

A 2-year-old girl initially presented with an enlarging and fluctuating mass resembling a bruise several months after orbital trauma. CT imaging showed soft tissue contusion and possible hematoma, without cystic characteristics. Surgical excision was conducted and immunohistochemistry staining revealed CD34+ endothelium. The clinical and histopathologic findings were consistent with an orbital varix. To date, there are no published cases of posttraumatic extraconal orbital varix formation in the pediatric population.

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http://dx.doi.org/10.1097/IOP.0000000000002896DOI Listing

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Article Synopsis
  • A 2-year-old girl developed a growing bruise-like mass in her eye socket months after an orbital injury, which was diagnosed through CT imaging as possible soft tissue contusion or hematoma.
  • Surgical removal was performed, and lab tests revealed it was an orbital varix, showing CD34+ endothelium.
  • This case is unique as it represents the first documented instance of posttraumatic orbital varix formation in children.
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