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) |
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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. |
doi_str_mv | 10.7759/cureus.19038 |
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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.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.19038</identifier><identifier>PMID: 34853755</identifier><language>eng</language><publisher>Palo Alto: Cureus Inc</publisher><subject>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</subject><ispartof>Curēus (Palo Alto, CA), 2021-10, Vol.13 (10)</ispartof><rights>Copyright © 2021, Chen et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2021, Chen et al. 2021 Chen et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2018-96790223a6ba287f0f9890555b6fa53c29d43fb79d9e49abf8d2c8c8d67e60c03</citedby><cites>FETCH-LOGICAL-c2018-96790223a6ba287f0f9890555b6fa53c29d43fb79d9e49abf8d2c8c8d67e60c03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608043/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608043/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Chen, Lu</creatorcontrib><creatorcontrib>Guo, Uta S</creatorcontrib><creatorcontrib>Grutman, Gennadiy</creatorcontrib><creatorcontrib>McFarlane, Samy I.</creatorcontrib><creatorcontrib>Mehta, Parag</creatorcontrib><title>Superior Ophthalmic Vein Thrombosis Induced by Orbital Cellulitis: An Ophthalmic Emergency</title><title>Curēus (Palo Alto, CA)</title><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.</description><subject>Abscesses</subject><subject>Antibiotics</subject><subject>Bacteria</subject><subject>Case reports</subject><subject>Cellulitis</subject><subject>Diplopia</subject><subject>Edema</subject><subject>Emergency medical care</subject><subject>Erythema</subject><subject>Eye movements</subject><subject>Fatalities</subject><subject>Internal Medicine</subject><subject>Laboratories</subject><subject>Medical Education</subject><subject>Ophthalmology</subject><subject>Optic nerve</subject><subject>Pain</subject><subject>Patients</subject><subject>Primary care</subject><subject>Rare diseases</subject><subject>Sinuses</subject><subject>Sinusitis</subject><subject>Staphylococcus infections</subject><subject>Thrombosis</subject><subject>Veins & arteries</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpVkU1LAzEQhoMottTe_AELXm2dTTabxINQSv2AQg9WD15CNpvtpuyXyUbov7faIvU0A_POMwMPQtcxTBmj4k4HZ4KfxgIIP0NDHKd8wmOenJ_0AzT2fgsAMTAMDC7RgCScEkbpEH28hs4427po1ZV9qara6ujd2CZal66ts9ZbH700edAmj7JdtHKZ7VUVzU1Vhcr21t9Hs-Z0eVEbtzGN3l2hi0JV3oyPdYTeHhfr-fNkuXp6mc-WE40h5hORMgEYE5VmCnNWQCG4AEpplhaKEo1FnpAiYyIXJhEqK3iONdc8T5lJQQMZoYcDtwtZbXJtmt6pSnbO1srtZKus_D9pbCk37ZfkKXBIyB5wcwS49jMY38ttG1yz_1niFGPBmGB0n7o9pLRrvXem-LsQg_yRIQ8y5K8M8g3OeH2g</recordid><startdate>20211025</startdate><enddate>20211025</enddate><creator>Chen, Lu</creator><creator>Guo, Uta S</creator><creator>Grutman, Gennadiy</creator><creator>McFarlane, Samy I.</creator><creator>Mehta, Parag</creator><general>Cureus Inc</general><general>Cureus</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20211025</creationdate><title>Superior Ophthalmic Vein Thrombosis Induced by Orbital Cellulitis: An Ophthalmic Emergency</title><author>Chen, Lu ; Guo, Uta S ; Grutman, Gennadiy ; McFarlane, Samy I. ; Mehta, Parag</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2018-96790223a6ba287f0f9890555b6fa53c29d43fb79d9e49abf8d2c8c8d67e60c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abscesses</topic><topic>Antibiotics</topic><topic>Bacteria</topic><topic>Case reports</topic><topic>Cellulitis</topic><topic>Diplopia</topic><topic>Edema</topic><topic>Emergency medical care</topic><topic>Erythema</topic><topic>Eye movements</topic><topic>Fatalities</topic><topic>Internal Medicine</topic><topic>Laboratories</topic><topic>Medical Education</topic><topic>Ophthalmology</topic><topic>Optic nerve</topic><topic>Pain</topic><topic>Patients</topic><topic>Primary care</topic><topic>Rare diseases</topic><topic>Sinuses</topic><topic>Sinusitis</topic><topic>Staphylococcus infections</topic><topic>Thrombosis</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Lu</creatorcontrib><creatorcontrib>Guo, Uta S</creatorcontrib><creatorcontrib>Grutman, Gennadiy</creatorcontrib><creatorcontrib>McFarlane, Samy I.</creatorcontrib><creatorcontrib>Mehta, Parag</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Lu</au><au>Guo, Uta S</au><au>Grutman, Gennadiy</au><au>McFarlane, Samy I.</au><au>Mehta, Parag</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Superior Ophthalmic Vein Thrombosis Induced by Orbital Cellulitis: An Ophthalmic Emergency</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><date>2021-10-25</date><risdate>2021</risdate><volume>13</volume><issue>10</issue><issn>2168-8184</issn><eissn>2168-8184</eissn><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.</abstract><cop>Palo Alto</cop><pub>Cureus Inc</pub><pmid>34853755</pmid><doi>10.7759/cureus.19038</doi><oa>free_for_read</oa></addata></record> |
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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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