Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
143 Doctors are Online

Orbital varices,sunken eye,painful

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
My daughter has a orbital varices , it is usually not painful though over the last week it has been hurting . He eye looks a little sunken in , it also seems to be bulging a bit more often when she bends down .
is there anything we can do to help alleviate the symptoms , and why has it happened ?
Posted Tue, 17 Apr 2012 in Vision and Eye Disorders
Answered by Dr. Chakravarthy Mazumdar 5 hours later

Orbital Varices if painful can be helped by Ice compresses.

Pack ice cubes in a cloth and put over the varices for 5 minutes every 4 hours and she should find it as a good relief. If there is fever and headache, a Ibuprofen preparation can be helpful too.

Next thing is we have to find out the reason for varices, rarely there is any systemic disease. I would like to know if she has any other associated symptoms like
1) Headache
2) Proptosis ( protruding Eye ball)
3) Intermittent fever
4) Neck pain on flexion
5) Since when does she have them, was it a sudden development?
6) Thyroid hormone status
7) Vision status is important

Please get her examined by a primary care, if not an ophthalmologist, to check for basic reasons for Orbital varices. He can provide better painkillers if my above quick home work does not help.

Let me know if I can help you with more answers.


Above answer was peer-reviewed by
Follow-up: Orbital varices,sunken eye,painful 3 hours later
She has been seen by a consultant opthamologist which was when it was diagnosed. they said it was a congenital problem and that she would have been born with it. She has headaches and protosis , which has been worst over the last week . Is there something that sparks of this period of pain ? She doesn't have a fever and her thyroid homones are fine . It is only in the right eye not both.
She has had a CT scan and a MRI and we were advised to leave wee alone unless there were significant changes
Answered by Dr. Chakravarthy Mazumdar 19 hours later

Congenital varices have no clinical significance with clear CT / MRI images.

My advice above with ice compresses should help you, Ibuprofen etc have you done it? There are no clear facts to say what sparks these pains. Simple stress and migraine are known but illdefined reasons.

Hope it helps.

Above answer was peer-reviewed by
Follow-up: Orbital varices,sunken eye,painful 40 minutes later
these orbital varices are behind her eye , the consultant opthamologist did the CT scans etc and the varices was obvious in her right eye. I do not understand the statement of no clinical significance, what do you mean . i have researched on pub med and on the internet and it appears to be the way that these conditions are diagnosed. The consultant opthamologist is a speacialist in this rare condition , is there something that i am not understanding?
Answered by Dr. Chakravarthy Mazumdar 1 hour later

Your Ophthalmologist did the right test to do find the Orbital Varices. I am not commenting on his acumen. What I mean to say is, the definitive treatment cannot be started when there are no secondary causes. Congenital varices are looked as venous hamartomas (unknown enlargement of veins).

The Ophthalmologist would have educated you that a slow, painless enlargement can happen over years. Sometimes acute episode of painful proptosis are more common often because of thrombosis or bleeding behind. Headache is associated at such time. When there is enlargement or increased blood flow in these varices the pain aggravates as in Stress, migraine.

Particularly in case of primary varices with no obvious cause ( clear CT / MRI ), as in your daughter's case, do not require aggressive treatment. In cases of acute thrombosis or hemorrhage, surgery may be required to remove a hematoma or clotted vessel. Your doctor also weighs risks vs benefits, I believe he feels it is better not to interfere.

If you are too much worried about a catastrophe in the form of severe bleeding and If your daughter is struggling with severe intermittent exophthalmos and cosmetic disfigurement, treatment by electroembolization is a safe and relatively easy procedure, particularly if the orbital varix is consistent with saccular or segmental venous dilatations.

As the varices are hamartomas, they are best left alone than a painful and complication associated surgical repair. The surgical repair is rarely complete and moderately successful as inferred by a large study.

Till then pain can be controlled by methods as described earlier.

Hope it helps.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask an Ophthalmologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor