Superior Ophthalmic Vein Thrombosis Induced by Orbital Cellulitis: An Ophthalmic Emergency

Chen, Lu; Guo, Uta; Grutman, Gennadiy; McFarlane, Samy I.; Mehta, Parag

doi:10.7759/cureus.19038

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Тромбоз верхней глазничной вены (ВГВ) является редкой патологией (3-4 случая на 1 млн населения в год), ведущей к опасным осложнениям, таким как тромбоз кавернозного синуса, вероятная потеря зрения. В литературе встречаются данные о летальном исходе при тромбозе ВГВ (4% от всех случаев) [1,2]. Данная патология может быть односторонней (90% венозных мальформаций являются односторонними [3]) и двусторонней и в большинстве случаев проявляется болезненным птозом, хемозом, гиперемией конъюнктивы.…”

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Clinical case of 9-month observation of orbital venous varicose with intraluminal thrombus using radiologic methods

Semenov,

Malkov,

Shatokhina

et al. 2023

Medicinskaâ vizualizaciâ

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A rare clinical case of thrombosis of varicose superior ophthalmic vein in combination with a unilateral venous anomaly of the subcortical region of the brain with successful antithrombotic therapy is presented. Varicose veins of the superior ophthalmic vein are rare (2% of all orbital formations) and are a risk factor for thrombosis.Material and methods. A 41-year-old patient with verified thrombosis of unilateral orbital venous varicose veins was observed for 9 months. Initially, MSCT of the brain and MSCT angiography were performed, then dynamic monitoring was carried out by performing MRI of the brain and MR venography, and finally an ultrasound examination of the orbit was performed.Description of a clinical case. The clinical presentation consisted of a slight non-pulsatile unilateral exophthalmos, mild ptosis, periorbital soft tissue edema, subconjunctival hemorrhage, paraorbital hematoma, and venous dysfunction in the fundus. MSCT and MSCT angiography revealed a thrombus inside the sac of orbital venous varicose veins. The disease was probably secondary in nature, given that it was combined with venous angioma of the subcortical region on the same side. During 9 months of observation, to monitor the effectiveness of therapy, MRI was performed three times before and after contrast enhancement, which showed a gradual decrease in exophthalmos, the size of the thrombus and the varicocele sac, which was accompanied by a gradual improvement in the clinical picture until subjective recovery.Conclusion. MRI was as good an imaging modality as MSCT, and, in our opinion, more preferable due to the absence of radiation exposure and the need for iodine contrast agent.

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Section: Introductionunclassified

Clinical case of 9-month observation of orbital venous varicose with intraluminal thrombus using radiologic methods

Semenov,

Malkov,

Shatokhina

et al. 2023

Medicinskaâ vizualizaciâ

View full text Add to dashboard Cite

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“…She can carry out her routine schedule and will be coming back for follow-up with surveillance MRI. DISCUSSION SOVT is a rare medical condition but often presented initially in the primary or emergency care settings [2] . It is a multifactorial disorder predisposed by alteration of Virchow's triad (stasis of blood flow, endothelial dysfunction, and coagulopathy) [1] .…”

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On-treatment isolated superior ophthalmic vein thrombosis complicated with carotid cavernous fistula: a case report

Lo¹,

Cheng²,

Halim³

et al. 2022

Int J Ophthalmol

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W e are writing this letter to present a case of ontreatment isolated superior ophthalmic vein thrombosis (SOVT) that progressed to cavernous sinus thrombosis (CST) and further complicated with carotid cavernous fistula (CCF). SOVT is a rare but potentially lethal illness. It is normally presented with orbital congestion syndrome with proptosis, ophthalmoplegia, diplopia, and high intraocular pressure (IOP) [1] . Late detection of this disease can lead to devastating complications such as optic nerve compression, CST and subsequently CCF. Case reports regarding SOVT are scarce thus there are limited management guidelines available. We present a case of SOVT which was complicated with CCF despite prompt medical treatment being given, but subsequently resolved with an added-on surgical intervention. Principles outlined in the Declaration of Helsinki was followed. Informed consent was obtained from the subject. Case Presentation A 72-year-old lady with no known medical illness presented with sudden onset of double vision associated with unilateral left eye (OS) blurring of vision, redness, eyelid drooping, and eyeball protrusion (Figure 1). Her vision was 6/24 OS and 6/9 right eye (OD). There was a positive relative afferent pupillary defect (RAPD) OS. Ocular examination OS showed diffuse conjunctival congestion and chemosis with clear cornea and quiet anterior chamber. The IOP was 32 mm Hg. The fundus examination showed hyperaemic

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Sudden onset of complete ophthalmoplegia and blindness after resection of large frontal convexity meningioma: Case report

Zilka¹,

Harag²,

Illes³

et al. 2023

Interdisciplinary Neurosurgery

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Superior Ophthalmic Vein Thrombosis Induced by Orbital Cellulitis: An Ophthalmic Emergency

Cited by 3 publications

References 19 publications

Clinical case of 9-month observation of orbital venous varicose with intraluminal thrombus using radiologic methods

Clinical case of 9-month observation of orbital venous varicose with intraluminal thrombus using radiologic methods

On-treatment isolated superior ophthalmic vein thrombosis complicated with carotid cavernous fistula: a case report

Sudden onset of complete ophthalmoplegia and blindness after resection of large frontal convexity meningioma: Case report

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