Orbital Varicocele.

Case Report A woman aged 65 years came to the hospital in April, 1963, with the complaint of pain and protrusion of the right eye on lying down, which made it difficult for her to sleep. This distressing exophthalmos also occurred on coughing, sneezing, vomiting, stooping, and lifting. She had first noticed it some 4 years before, until which time the eye had been perfectly normal except for occasional irritation. She could not relate the onset to any particular event, and gave no history of trauma. Nothing significant could be discovered in her past, personal and family history. Examination.-When the patient was sitting on a stool, the right eye looked more prominent than the left (Fig. 1). To demonstrate the protrusion, she lay on her right side with head flexed on the chest, and the exophthalmos markedly increased, reaching its maximum in about 10 minutes (Fig. 2). The exophthalmos was reducible but non-pulsatile. No bruit could be heard on either the closed eyelid or the temple. When she sat up again, the exophthalmos receded, and the eye returned to its original state. It was confirmed that the exophthalmos also occurred on coughing, sneezing, stooping, straining, and on forced expiration against the closed mouth and nose (Fig. 3).