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Ophthalmology General 5ab69e02

A patient presented with unilateral proptosis which was compressible and increases on bending forward. No thrill or bruit was present. MRI shows a retro orbital mass with enhancement. The likely diagnosis is -

A
AV malformations
B
Orbital encephalocoele
C
Orbital varix
D
Neurofibromatosis
High-Yield Explanation
Proptosis on bending forward is typical of intermittent proptosis. Orbital varices constitute about 90% of cases of intermittent proptosis). So, it is seen in venous malformation, i.e., orbital varixes (not AV malformation). AV malformation (carotid - cavernous fistula) and encephalocele cause pulsatile exophthalmos.

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