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A 15-year-old girl with sudden onset proptosis
Digital Journal of Ophthalmology 2006
Volume 12, Number 5
December 12, 2006
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Adrian MacFarlane | Maidstone and Tunbridge Wells NHS Trust
andrew tatham | maidstone and tunbridge wells nhs trust, maidstone , kent, UK
A 15-year-old girl presented to the Emergency Department with sudden onset of proptosis of the left eye. She felt generally unwell, was complaining of periorbital pain, and had vomited several times. Two days previously she had experienced minor trauma when a textbook, thrown by a classmate, had collided with her left eye.

Prior to the trauma, the patient had experienced episodes of intermittent prominence and ‘bulging’ of the left eye. Her mother first noticed this at the age of two years and she was taken to see a pediatric ophthalmologist. Following an orbital ultrasound, she was diagnosed with a left orbital varix. At this time, the lesion was said to consist of a low flow mass surrounding the optic nerve, which extended widely through the orbit. The patient had been asymptomatic for the last twelve years and not followed up routinely.