1
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Sigurdsson S, Bohman E, Träisk F, Arnljots U. Glucocorticoids in the treatment of non-infectious superior ophthalmic vein thrombosis - Three cases and a review of the literature. Am J Ophthalmol Case Rep 2024; 34:102027. [PMID: 38516054 PMCID: PMC10955203 DOI: 10.1016/j.ajoc.2024.102027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Revised: 11/30/2023] [Accepted: 02/19/2024] [Indexed: 03/23/2024] Open
Abstract
Purpose Superior ophthalmic vein thrombosis (SOVT) is a rare clinical entity, which can have a septic and an aseptic cause. Aseptic SOVT is typically treated with anticoagulation. Glucocorticoids are reserved for cases with concurrent orbital inflammation.We present three cases of SOVT due to carotid cavernous fistula not responding to standard treatment, subsequently successfully treated with glucocorticoids. Observations Three patients with various degrees of proptosis, ophthalmoplegia, orbital stasis and reduced vision are presented. One patient was confirmed to have isolated SOVT, while the other two had associated cavernous sinus thrombosis. All patients had underlying carotid-cavernous fistula without signs of infection. All patients were initially treated with parenteral anticoagulation. Two patients were treated with intraocular pressure-reducing medication. One of whom underwent canthotomy-cantholysis. Two patients experienced a gradual worsening of symptoms during treatment with anticoagulation, while one patient improved before deteriorating. All patients received additional treatment with glucocorticoids consisting of a three-day treatment with intravenous methylprednisolone 500 mg, followed by oral glucocorticoids resulting in total regression of symptoms. Two patients regained 20/20 vision, with some vision field defects, while the third patient regained 20/25 vision. Conclusion and importance The addition of glucocorticoids in the treatment of aseptic SOVT can lead to improvement of symptoms and a potentially better prognosis. However, the risk of complications of glucocorticoid treatment must be carefully considered on a case-by-case basis.
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Affiliation(s)
| | - Elin Bohman
- St. Erik Eye Hospital, Stockholm, Sweden
- Division of Eye and Vision, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Frank Träisk
- St. Erik Eye Hospital, Stockholm, Sweden
- Division of Eye and Vision, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Urszula Arnljots
- Division of Eye and Vision, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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2
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Tbini M, Ben Ayed M, Boumediene M, Jrad M, Ben Salah M. A superior ophthalmic vein thrombosis following an acute pansinusitis: A case report. Int J Surg Case Rep 2023; 106:108173. [PMID: 37060761 PMCID: PMC10139902 DOI: 10.1016/j.ijscr.2023.108173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 03/10/2023] [Accepted: 03/17/2023] [Indexed: 04/17/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Superior ophthalmic vein thrombosis (SOVT) is a very rare condition that can occur following either septic or aspetic causes. Early recognition and management is important in order to avoid vision-threatening and fatal complications. CASE PRESENTATION A 28-year-old man presented with orbital cellulitis complicating acute pansinusitis. CT scan revealed ipsilateral SOVT. The patient received intravenous antibiotics and anticoagulation with strict ophthalmic monitoring. No orbital complications were recorded during the course of treatment. CLINICAL DISCUSSION SOVT is caused either by septic or aseptic causes. Treatment depends on the etiology. Corticosteroids and anticoagulants are controversial. CONCLUSION Early diagnosis is key to successful management of SOVT.
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Affiliation(s)
- Makram Tbini
- ENT Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia.
| | - Mariam Ben Ayed
- ENT Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia
| | - Miriam Boumediene
- Radiology Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia
| | - Myriam Jrad
- Radiology Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia
| | - Mamia Ben Salah
- ENT Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia
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3
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Teodoru CA, Munteanu M, Mercea N, Moatar A, Stanca H, Popescu FG, Dura H, Hașegan A, Giurgiu DI, Cerghedean-Florea ME. Ophthalmic Vein Thrombosis Associated with Factor V Leiden and MTHFR Mutations. Diagnostics (Basel) 2023; 13:diagnostics13061052. [PMID: 36980359 PMCID: PMC10047011 DOI: 10.3390/diagnostics13061052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 03/03/2023] [Accepted: 03/06/2023] [Indexed: 03/12/2023] Open
Abstract
Superior ophthalmic vein thrombosis (SOVT) is a rare clinical entity that may be associated with hypercoagulability status. We present a case of a 77-year-old woman who presented to the emergency department complaining of eye ptosis, chemosis and conjunctival congestion in the right eye (RE). The ophthalmological examination revealed best-corrected visual acuity (BCVA) was 0.5 for the right eye (RE) 0.5 and 0.06 for the left eye (LE). Intraocular pressure (IOP) was 25 mmHg in RE and 14 mmHg in LE. Non-contrast computed tomography (CT) of the brain and orbits revealed a hyperreflectivity at the level of the right ophthalmic vein and inferior rectus muscle hypertrophy. An extensive hypercoagulable panel was completed and we found a positive result for Factor V Leiden (heterozygous mutation) and methyl-enetetrahydrofolate reductase (MTHFR-C677T homozygous mutations). Systemic steroidal anti-inflammatory and anticoagulant treatments were started immediately. Gradual resolution of symptoms was noted during the hospitalization, and BCVA in her RE was established at 0.7 at the 10-week follow-up.
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Affiliation(s)
| | - Mihnea Munteanu
- Department of Ophthalmology, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Nadina Mercea
- Ophthalmology Clinic, Municipal Clinical Emergency Hospital, 300254 Timisoara, Romania
| | - Alina Moatar
- Ophthalmology Clinic, Municipal Clinical Emergency Hospital, 300254 Timisoara, Romania
| | - Horia Stanca
- Department of Ophthalmology, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania
| | - Florina Georgeta Popescu
- Department of Occupational Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Horațiu Dura
- Faculty of Medicine, “Lucian Blaga” University Sibiu, 550169 Sibiu, Romania
| | - Adrian Hașegan
- Faculty of Medicine, “Lucian Blaga” University Sibiu, 550169 Sibiu, Romania
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4
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Lavigne A, Horion J, Malandain E. Exophtalmie et ophtalmoplégie aiguës révélant une thrombose bilatérale des veines ophtalmiques supérieures. J Fr Ophtalmol 2022; 45:e369-e370. [DOI: 10.1016/j.jfo.2021.11.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 10/06/2021] [Accepted: 11/18/2021] [Indexed: 11/28/2022]
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5
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Chen L, Guo US, Grutman G, McFarlane SI, Mehta P. Superior Ophthalmic Vein Thrombosis Induced by Orbital Cellulitis: An Ophthalmic Emergency. Cureus 2021; 13:e19038. [PMID: 34853755 PMCID: PMC8608043 DOI: 10.7759/cureus.19038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2021] [Accepted: 10/24/2021] [Indexed: 11/05/2022] Open
Abstract
Superior ophthalmic vein thrombosis (SOVT) is a rare ophthalmologic emergency. The most common etiologies include infection, trauma, inflammation, and malignancy, as well as thyroid-related orbitopathy. Early identification and timely intervention can lead to a significant decrease in complications that include cavernous sinus thrombosis (CST), vision loss, and death. This rare disease entity almost always makes its initial presentation to internal medicine or emergency medicine (EM) physicians. In this report, we present a case of SOVT that presented overnight to the emergency department for worsening right facial swelling and orbital pain. We discuss our experience with the evaluation and management of SOVT and provide a review of the currently available literature to emphasize the importance of obtaining a full history and physical examination, seeking early imaging studies, and ophthalmology consultation for patients with suspected SOVT.
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Affiliation(s)
- Lu Chen
- Department of Cardiology, State University of New York Downstate Medical Center, Brooklyn, USA
| | - Uta S Guo
- Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, USA
| | - Gennadiy Grutman
- Internal Medicine, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, USA
| | - Samy I McFarlane
- Department of Medicine and Endocrinology, State University of New York Downstate Medical Center, Brooklyn, USA
| | - Parag Mehta
- Internal Medicine, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, USA
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6
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Khurram R, Naidu V, Butt MF, Durnford L, Joffe M. Superior ophthalmic vein thrombosis secondary to COVID-19: an index case. Radiol Case Rep 2021; 16:1138-1143. [PMID: 33688386 PMCID: PMC7927642 DOI: 10.1016/j.radcr.2021.02.063] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Revised: 02/25/2021] [Accepted: 02/25/2021] [Indexed: 01/03/2023] Open
Abstract
Superior ophthalmic vein thrombosis is a very rare condition, known to have a profound negative impact on vision and eye movement function and is usually associated with orbital infections, inflammation, tumors, or carotid cavernous fistulae. There is an increased risk of arterial and venous thrombosis associated with COVID-19, the presence of which is related to a significantly increased risk of mortality. We report an index case of superior ophthalmic vein thrombosis in a 61-year-old male patient who was diagnosed with COVID-19 pneumonitis and a concomitant saddle pulmonary embolus. He was swiftly treated with low molecular weight heparin which led to the resolution of the thrombosis within 3 weeks. This case highlights the importance of considering this entity in the context of COVID-19 as well as providing prompt treatment to reduce the risk of complications.
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Affiliation(s)
- Ruhaid Khurram
- Department of Radiology, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond St, Hampstead, London, NW3 2QG
| | - Vishnu Naidu
- Department of Radiology, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond St, Hampstead, London, NW3 2QG
| | - Mohsin F. Butt
- Department of Radiology, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond St, Hampstead, London, NW3 2QG
| | - Luke Durnford
- Department of Radiology, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond St, Hampstead, London, NW3 2QG
| | - Michael Joffe
- Department of Radiology, Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond St, Hampstead, London, NW3 2QG
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7
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Shahlaee A, Hennein LM, Winn BJ, Dillon WP, Rasool N. Bilateral superior ophthalmic vein thrombosis associated with high altitude. Orbit 2020; 40:407-411. [PMID: 32727245 DOI: 10.1080/01676830.2020.1797825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
We report a case of a 47-year-old female who experienced periorbital swelling while descending from a Himalayan mountain climb and was found to have bilateral superior ophthalmic vein thromboses (SOVT). Infectious, autoimmune, and hypercoagulability work-up were negative with no cavernous sinus involvement. Symptoms resolved upon initiation of anticoagulation and oral steroids. SOVT is a rare but serious condition and has a risk of extending into the cavernous sinus if not treated early. Although infection is the most common etiology, venous thrombosis can be precipitated under high altitude and low oxygen pressure environments. We present a case of superior ophthalmic vein thrombosis associated with high-altitude conditions.
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Affiliation(s)
- Abtin Shahlaee
- Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA
| | - Lauren M Hennein
- Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA
| | - Bryan J Winn
- Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA
| | - William P Dillon
- Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA
| | - Nailyn Rasool
- Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA
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8
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The Superior Ophthalmic Vein: Anatomical Perspective for Transvenous Access to the Cavernous Sinus. J Craniofac Surg 2020; 31:1153-1156. [PMID: 32149970 DOI: 10.1097/scs.0000000000006303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
The anatomical characteristics of the superior ophthalmic vein (SOV), which is crucial when performing craniofacial surgeries and transvenous access to the cavernous sinus, have not been documented. The present study aimed to explore them using magnetic resonance angiography (MRA). A volumetric, phase-contrast MRA was performed in 74 outpatients not bearing vascular or tumorous pathologies in the face, orbit, and cavernous sinus. The entire course of the SOV was delineated in 46 patients (62%), for 76% on the right side and 83% on the left. These SOVs consistently showed a characteristic morphology with a laterally coursing proximal segment and a medially coursing distal segment. The latter segment was connected to the angular, supraorbital, supratrochlear, facial, and external nasal veins that were inconsistently delineated. The angular vein was tortuous in 51% of the patients on the right and 53% on the left. The morphology of the proximal part of the SOV was also variable and involved a tortuous segment in 11% of the patients on the right and in 7% on the left. Furthermore, in 4 patients (8.7%), a fenestration was found in the right SOVs. Inconsistent tributaries of the SOV, tortuous angular vein, and possible tortuous segment and fenestration of the SOV can make orbital transvenous access to the cavernous sinus difficult.
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9
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Sotoudeh H, Shafaat O, Aboueldahab N, Vaphiades M, Sotoudeh E, Bernstock J. Superior ophthalmic vein thrombosis: What radiologist and clinician must know? Eur J Radiol Open 2019; 6:258-264. [PMID: 31641683 PMCID: PMC6796573 DOI: 10.1016/j.ejro.2019.07.002] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2019] [Revised: 07/04/2019] [Accepted: 07/05/2019] [Indexed: 11/29/2022] Open
Abstract
PURPOSE Superior ophthalmic vein thrombosis (SOVT) is an extremely rare condition. Few studies have been published about clinical aspects of this condition. In this study, we have studied the symptoms, underlying etiologies, treatment, pathogenesis and complication of the SOVT and we tried to classify it based on the etiology, treatment, and prognosis. METHODS We reviewed the patients' data from a tertiary academic referral center. Each patient with SOVT was then reviewed for symptoms associated with SOVT, underlying etiology, treatment protocol, treatment response, complications, possible pathogens, and final outcome. RESULTS Twenty-four cases of SOVT were included in this study. Overall, 13 cases were diagnosed as right-sided SOVT, out of which, eight had simultaneous right-sided cavernous sinus thrombosis (CST). Eighteen cases were diagnosed to have left-sided SOVT, out of which, 11 had simultaneous left-sided CST. CONCLUSIONS The SOVT can be secondary to different mechanisms. The SOVT secondary to trauma, recent surgery and coagulopathy are mostly non-aggressive, and can be managed by conservative therapy and anticoagulation. The SOVT in patients with orbital cellulitis, history of active sinusitis or paranasal sinus surgery are aggressive presenting with acute orbital swelling, abscess and visual loss. This type of SOVT can be complicated by extension to the cavernous sinus and intracranial structures. These patients require urgent antibiotics therapy and sinus surgery. The most severe type of SOVT is caused by mucormycosis which may also extend intracranially resulting in stroke and is often life-threatening.
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Key Words
- B/L, bilateral
- CCF, carotid cavernous fistula
- CST, cavernous sinus thrombosis
- CT, computed tomography
- Cavernous sinus thrombosis
- F, female
- IRB, institutional review board
- L, left
- M, male
- MRI, magnetic resonance Imaging
- N/A, not applicable
- Orbital cellulitis
- R, right
- RA, rheumatoid arthritis
- SCC, Squamous Cell Carcinoma
- SLE, systemic lupus erythematosus
- SOV, superior ophthalmic vein
- SOVT, superior ophthalmic vein thrombosis
- Sinusitis
- Superior ophthalmic vein thrombosis
- Thrombophlebitis
- UTI, Urinary Tract Infection
- Y, yes
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Affiliation(s)
- Houman Sotoudeh
- Department of Neuroradiology, University of Alabama at Birmingham (UAB), 619 19th St S, Birmingham, AL, 35294, JTN 333, USA
| | - Omid Shafaat
- Department of Radiology and Interventional Neuroradiology, Isfahan University of Medical Sciences, 8174675731 Alzahra Teaching Hospital, Sofeh Blvd, Isfahan, Iran
| | - Noha Aboueldahab
- Department of Neuroradiology, University of Alabama at Birmingham (UAB), 619 19th St S, Birmingham, AL 35294, USA
| | - Michael Vaphiades
- University of Alabama Birmingham (UAB) Department of Ophthalmology, 700 South 18th Street, Birmingham, AL 35233, USA
| | - Ehsan Sotoudeh
- Department of Surgery, Iranian Hospital in Dubai, P.O.BOX: 2330, Al-Wasl Road, Dubai 2330, United Arab Emirates
| | - Joshua Bernstock
- Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Hale Building, 60 Fenwood Road, Boston, MA 02115, USA1
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10
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van der Poel NA, de Witt KD, van den Berg R, de Win MM, Mourits MP. Impact of superior ophthalmic vein thrombosis: a case series and literature review. Orbit 2019; 38:226-232. [PMID: 30040506 DOI: 10.1080/01676830.2018.1497068] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Accepted: 07/02/2018] [Indexed: 06/08/2023]
Abstract
Purpose: To present nine new cases of superior ophthalmic vein thrombosis (SOVT) and compare these with the literature, and to assess the impact of SOVT for the clinician. Methods: Using the data bases of the Department of Ophthalmology of the AMC, we searched for patients with radiologically evidenced SOVT between January 2006 and December 2014. In addition, a PubMed search, using the mesh term 'superior ophthalmic vein thrombosis', was done. Results: We found nine patients with SOVT. In three patients, SOVT was related to dural arteriovenous fistulae. In one patient, it was caused by the acute reversal of warfarin by vitamin K. In two patients, an infectious cause was found. In three patients, the cause of SOVT was not found despite screening for coagulation and other disorders. All patients presented with eyelid swelling, proptosis, and/or motility impairment. We found complete recovery in four patients. Three patients had mild sequelae and two patients had severe visual impairment. In the literature, we found 60 cases reporting on SOVT with various aetiologies. Clinical presentation, treatment modalities, and outcomes were comparable to our findings. Conclusion: Our case series and literature review show that SOVT can occur simultaneously with cavernous sinus thrombosis (CST) but can also be a separate entity. Clinical presentation can mimic orbital cellulitis (OC) or CST and when no signs of OC can be found, an alternative cause for SOVT should be sought. When timely and adequate treatment is conducted, the prognosis is predominantly favourable.
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Affiliation(s)
- Nicolien A van der Poel
- a Department of Otorhinolaryngology , Academic Medical Center, University of Amsterdam , Amsterdam , The Netherlands
| | - Kornelis D de Witt
- b Department of Ophthalmology , Academic Medical Center, University of Amsterdam , Amsterdam , The Netherlands
| | - René van den Berg
- c Department of Radiology and Nuclear Medicine , Academic Medical Center, University of Amsterdam , Amsterdam , The Netherlands
| | - Maartje M de Win
- c Department of Radiology and Nuclear Medicine , Academic Medical Center, University of Amsterdam , Amsterdam , The Netherlands
| | - Maarten P Mourits
- b Department of Ophthalmology , Academic Medical Center, University of Amsterdam , Amsterdam , The Netherlands
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11
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Hajar Z, Fotedar N, Jump RLP. Concurrent Atlantoaxial Septic Arthritis and Septic Thrombosis of the Ophthalmic Vein due to Staphylococcus aureus: A Case Report and Review of the Literature. Open Forum Infect Dis 2019; 6:ofy328. [PMID: 31660324 PMCID: PMC6312549 DOI: 10.1093/ofid/ofy328] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Accepted: 11/30/2018] [Indexed: 12/29/2022] Open
Abstract
Atlantoaxial joint septic arthritis and superior ophthalmic vein thrombosis are uncommon manifestations of Staphylococcus aureus infection. A 68-year-old man presented with acute-onset neck pain and diplopia. Imaging studies revealed atlantoaxial septic arthritis and right superior ophthalmic vein thrombosis. Blood cultures grew methicillin-susceptible S. aureus. We review the literature describing these 2 uncommon manifestations of a common pathogen.
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Affiliation(s)
- Zeina Hajar
- Division of Infectious Diseases & HIV Medicine, Department of Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio
| | - Neel Fotedar
- Neurological Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio
| | - Robin L P Jump
- Geriatric Research Education and Clinical Center (GRECC), and Specialty Care Center of Innovation, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio
- Division of Infectious Diseases & HIV Medicine, Department of Medicine and Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, Ohio
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12
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Rao R, Ali Y, Nagesh CP, Nair U. Unilateral isolated superior ophthalmic vein thrombosis. Indian J Ophthalmol 2018; 66:155-157. [PMID: 29283149 PMCID: PMC5778557 DOI: 10.4103/ijo.ijo_791_17] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Superior ophthalmic vein (SOV) thrombosis is an uncommon orbital pathology that can present with sudden onset proptosis, conjunctival injection, and visual disturbance. SOV thrombosis is frequently secondary to a cavernous sinus pathology. A 32-year-old female with a known history of autoimmune hemolytic anemia presented with sudden painful proptosis left eye, and on imaging, she was found to have SOV thrombosis without cavernous sinus involvement. She was diagnosed with unilateral isolated SOV thrombosis and was managed conservatively. A careful history and clinical evaluation can help diagnose such rare disorders and initiate appropriate therapy.
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Affiliation(s)
- Raksha Rao
- Department of Orbit, Oculoplasty and Ocular Oncology, Chaithanya Eye Hospital and Research Institute, Trivandrum, Kerala, India
| | - Yasmin Ali
- Department of Retina, Chaithanya Eye Hospital and Research Institute, Trivandrum, Kerala, India
| | - Chinmay P Nagesh
- Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
| | - Unnikrishnan Nair
- Department of Retina, Chaithanya Eye Hospital and Research Institute, Trivandrum, Kerala, India
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