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Spontaneous arteriovenous malformation of the orbit
  1. RICHARD J HESSE,
  2. VINOD K JINDAL,
  3. NILS MUNGAN
  1. Department of Ophthalmology, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, LA 70121, USA
  2. Department of Pathology
  3. Department of Ophthalmology
  1. JOHN C SCHARFENBERG
  1. Department of Ophthalmology, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, LA 70121, USA
  2. Department of Pathology
  3. Department of Ophthalmology
  1. LUIS BERNHARD
  1. Department of Ophthalmology, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, LA 70121, USA
  2. Department of Pathology
  3. Department of Ophthalmology
  1. Dr Richard J Hesse, Department of Ophthalmology, Ochsner Clinic, 1514 Jefferson Highway, New Orleans, LA 70121, USA rhesse.csspo.css{at}ochsner.org

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Editor,—Arteriovenous malformations (AVMs) and fistulas are rare in the orbit and generally have been associated with previous trauma. Of the 627 orbital tumours reported by Wright,1 only three were arteriovenous malformations. We report the clinical and pathological findings in a patient with an apparent spontaneous malformation.

CASE REPORT

A 74 year old white woman presented with a 2 month history of painless, progressive swelling of the right upper eyelid with no antecedent history of inflammation, trauma, or surgery. Ocular examination revealed visual acuity 20/30 in …

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