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

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...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2021-10, Vol.13 (10)
Hauptverfasser: Chen, Lu, Guo, Uta S, Grutman, Gennadiy, McFarlane, Samy I., Mehta, Parag
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creator Chen, Lu
Guo, Uta S
Grutman, Gennadiy
McFarlane, Samy I.
Mehta, Parag
description 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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subjects Abscesses
Antibiotics
Bacteria
Case reports
Cellulitis
Diplopia
Edema
Emergency medical care
Erythema
Eye movements
Fatalities
Internal Medicine
Laboratories
Medical Education
Ophthalmology
Optic nerve
Pain
Patients
Primary care
Rare diseases
Sinuses
Sinusitis
Staphylococcus infections
Thrombosis
Veins & arteries
title Superior Ophthalmic Vein Thrombosis Induced by Orbital Cellulitis: An Ophthalmic Emergency
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