Intermittent visual loss and exophthalmos due to the Blue rubber bleb nevus syndrome

Publication

Intermittent visual loss and exophthalmos due to the Blue rubber bleb nevus syndrome

Journal Paper/Review - Jul 1, 2001

Sobottka Ventura A C, Remonda L, Mojon Daniel

Units

Department of Ophthalmology

PubMed

11438077

Citation

Sobottka Ventura A, Remonda L, Mojon D. Intermittent visual loss and exophthalmos due to the Blue rubber bleb nevus syndrome. American journal of ophthalmology 2001; 132:132-5.

Type

Journal Paper/Review (English)

Journal

American journal of ophthalmology 2001; 132

Publication Date

Jul 1, 2001

Issn Print

0002-9394

Pages

132-5

Brief description/objective

PURPOSE: To describe the occurrence of intermittent visual loss in a patient with orbital hemangioma due to the blue rubber bleb nevus syndrome. METHODS: Case report. RESULTS: A 70-year-old woman complained of intermittent blurred vision combined with pressure behind her left eye occurring after head bending or Valsalva maneuvers. Examination revealed 2 mm of enophthalmos on the left. After downward bending of the head the eye became exophthalmic by 12 mm and visual acuity decreased to finger counting. Neuro-ophthalmologic examination was otherwise normal. Magnetic resonance imaging revealed an intraconal hemangioma. Bluish, soft, rubber-like, compressible and slowly refilling hemangiomas on the inferior lip, sublingually, on the hand, and vagina led to the diagnosis of BRBNS. CONCLUSIONS: Intermittent visual loss may be the presenting symptom of an orbital hemangioma in BRBNS. Recognition of this rare condition is important because of its potentially life-threatening complications.