Cornea & external disease · practice question
Management: [READINESS SEED] An adult with an orbital varix has intermittent…
[READINESS SEED] An adult with an orbital varix has intermittent positional proptosis but no pain, no visual loss, and no thrombosis. What is the most appropriate management?
Show the answer and explanationAnswer and explanation
Answer: A. Conservative observation
An uncomplicated orbital varix is observed, because surgery on these fragile venous channels risks severe hemorrhage; intervention is reserved for pain, recurrent thrombosis, disfigurement, or optic-nerve compromise. Matching intervention to complications avoids operative harm.
Clinical pearl: When surgery is unavoidable, preoperative embolization or intraoperative controlled thrombosis helps limit the notorious bleeding of these lesions.