Orbital varix is an abnormally enlarged vein that accounts for less than 1.3% of all orbital masses. They are the most common cause of spontaneous orbital hemorrhage (Mafee). It may be a single vessel with saccular or segmental dilatation or tangled plexus of venous channels. Classically, they present in the 2nd and 3rd decade of life and occur equally in males and females (Rubin). Presenting symptoms are typically intermittent diplopia or proptosis during of straining or prone position. Hemorrhage or thrombosis are possible complications that may present with acute orbital pain, diplopia, proptosis or decreased visual acuity (Rubin).