眼結膜下靜脈瘤在臨床上極為罕見。本文報告一位24歲女性患有左眼結膜下眼窩靜脈瘤,電腦斷層掃瞄並未發現任何病灶,但是以超高頻生物顯微鏡發現在結膜下有一中等反射度程度的橢圓形病灶,且病灶與鞏膜並不相連,術前診斷疑似結膜下眼窩靜脈瘤。病患因美觀及診斷因素接受手術,病理報告確定為靜脈瘤。超高頻生物顯微鏡在此類結膜下病灶提供了相當清楚的影像,對於診斷有很大的幫助。
We present a 24 -year-old woman with an orbital varix presented as a subconjunctival mass in her left eye. The computed tomography (CT) failed to demonstrate the lesion. Ultrasound biomicroscopy (UBM) showed acousticcally solid dome-shape lesion with moderate internal reflectivity, which was well demarcated from conjunctiva and sclera without extrascleral extension. Surgery was performed for cosmetic reason and pathology was compatible with varix. UBM was found to be invaluable to examine the subconjunctival pigmented lesion and to show the relationship to adjacent structures.