Simultaneous Bilateral Thrombosed Orbital Varices: A Case Report.

Orbital varices are thin-walled venous structures that are asymptomatic in most individuals. Sometimes thrombosis of an orbital varix is the initial presentation of a previously unknown orbital varix. The authors present a case of a 47-year-old male who presented with sudden onset of pain and proptosis of his right eye over a period of 2-3 hours, possibly secondary to asphyxiation. A CT scan of the orbits revealed bilateral orbital masses in the posterior inferior orbit consistent with thrombosed orbital varix. A follow-up CT scan 3 weeks later confirmed the diagnosis. Conservative management led to complete resolution of symptoms.The authors describe a case report of simultaneous bilateral thrombosed orbital varices secondary to asphyxiation.