Most people with orbital varices experience little too few symptoms and require no treatment. Occasionally progressive eye pain, eye bulging, compression of the optic nerve, vision loss and/or disfigurement develops and prompts treatment.
There are no well established guidelines for treatment. Treatment is individually tailored to the patient. People seeking treatment for obital varices benefit from a consultation with a team of doctors, such as an opthalmologist, neurosurgeon, and/or neurointerventional radiologist. Treatment with electrothrombosis (the use of an electrical current to block blood flow to the varix), stereotactic gamma knife radiosurgery, sclerotherapy, surgical resection, and embolization (blocking of blood flow through the varix) with cyanoacrylate glue followed by excision have been described in the medical literature.
Last updated: 1/11/2013
We hope this information is helpful. We strongly recommend you discuss this information with your doctor. If you still have questions, please
Xu D, Liu D, Zhang Z, Zhang Y, Song G. Gamma knife radiosurgery for primary orbital varices: a preliminary report. Br J Ophthalmol. 2011 Sep;95(9):1264-7; http://www.ncbi.nlm.nih.gov/pubmed/20971792. Accessed 1/10/2013.
Couch SM, Garrity JA, Cameron JD, Cloft HJ. Embolization of orbital varices with N-butyl cyanoacrylate as an aid in surgical excision: results of 4 cases with histopathologic examination. Am J Ophthalmol. 2009 Oct;148(4):614-618.e1; http://www.ncbi.nlm.nih.gov/pubmed/19541289. Accessed 1/10/2013.
Tsai AS, Fong KS, Lim W, Al Jajeh I, Chuah CT, Rootman J. Bilateral orbital varices: an approach to management. Ophthal Plast Reconstr Surg. 2008 Nov-Dec;24(6):486-8; http://www.ncbi.nlm.nih.gov/pubmed/19033851. Accessed 1/10/2013.