Congenital anomalies of the venous drainage of the eyelids are relatively rare. Passive hyperemia of the lids due to overfilling of the venous circulation may be an important sign of deeper pathology in the orbit, for example thrombosis of the orbital veins or the cavernous sinus, an arteriovenous aneurysm, hemangiomas, or a tumor of the orbit. Rarely the obstruction is more remote as at the jugular vein.1
The following case presented with varicose dilatation of the veins of the right upper and lower lids due to congenital absence of any communication between the palpebral venous plexus and the anterior facial venous system via the angular vein. All the blood from the lids was drained by a small communicating vessel which ended in the pterygoid plexus. No similar case could be found in the literature for the past 50 years.
A Lebanese female, aged 46 years, the mother
HALASA AH, MATTA CS. Varicose Veins of the EyelidsReport of a Case. Arch Ophthalmol. 1964;71(2):176-179. doi:10.1001/archopht.1964.00970010192006