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Orbital varix is rare, accounting for only 0-1.3% of orbital masses. The presentation may be asymptomatic, mild proptosis, or more serious sequelae such as hemorrhage and optic nerve compression. The authors report a case of a 74-year-old male with progressively painful unilateral proptosis. Imaging revealed the presence of an orbital mass compatible with thrombosed orbital varix of the inferior ophthalmic vein in the left inferior intraconal space. The patient was managed medically. On a follow-up outpatient clinic visit, he demonstrated remarkable clinical recovery and denied experiencing any symptoms. Follow up CT scan showed a stable mass in the left orbit consistent with the previously diagnosed orbital varix.

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medical student