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Primary orbital varices are infrequent congenital vascular abnormalities resulting from the pathological enlargement of one or more venous channels of the orbit. We report a patient suffering ocular pain that appeared when the patient was bending over or lying. A 68 yearsold woman consulted in our office because of an ocular pain that appeared when the patient was bending over or lying. There was no proptosis and neuro ophthalmological examination including pupils’ reflexes, ocular mobility and visual acuity was normal. The patient was evaluated by computed tomography examination which revealed a faintly, enhancing lesion in the left inferomedial retrobul bar area.
The clinical presentation of primary orbital varices typical presents with exophthalmos that becomes evanescent in dependent positions
and in certain situations that increase intraorbital pressure. However, in patients suffering from bending over and lying ocular pain we
must suspect orbital varices even without positional exophthalmos
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