An unusual presentation of a lid varix

Lid varices are rare and usually visually benign. Ligation of small sections of the varix, as appropriate, may achieve the desired cosmetic effect and improve patient comfort. The varix usually does not recur after removal. Venography is used to evaluate the extent and supply of the varix before surgery. Cavernous hemangioma, a similar presentation, should be differentiated as it carries significant visual morbidity. Careful differential diagnosis with magnetic resonance imaging and computed tomography is essential with a new-onset or spontaneous varix.