Grand Rounds
  Most Recent Cases
  Dates of Case
  Type of Case
  Submit a Grand Round.
  Register with DJO to receive personalized updates.

If you're already a
member, please sign in.
A 15-year-old girl with sudden onset proptosis
Digital Journal of Ophthalmology 2006
Volume 12, Number 5
December 12, 2006
Printer Friendly



Adrian MacFarlane | Maidstone and Tunbridge Wells NHS Trust
andrew tatham | maidstone and tunbridge wells nhs trust, maidstone , kent, UK
Ancillary Testing
Radiographic Studies

Blood tests including complete blood count, CRP and ESR were unremarkable.An MRI scan of the orbits was performed to confirm the diagnosis (Figure 2).

Figure 2 MRI scan of orbits
A large left sided intraconal mass lesion is present. It is well defined and contains a number of septations. The lesion is distorting the globe and causing expansion of the orbital cavity with proptosis. The lesion returned a fluid signal on STIR and T2, with a signal slightly higher than fluid on T1. There was no enhancement following Gadolinium.

The appearance is consistent with an orbital venous malformation.
top
Figure 1

Figure 2A

Figure 2B