Document Detail

Superior ophthalmic vein thrombosis in a patient with dacryocystitis-induced orbital cellulitis.
MedLine Citation:
PMID:  16234708     Owner:  NLM     Status:  MEDLINE    
A 71-year-old-man presented with chronic left-sided epiphora and a 5-day history of progressive left orbital swelling that had started with a "bump" on the left side of his nose. Orbital CT revealed left-sided preseptal and postseptal inflammation, along with marked thickening of the left superior ophthalmic vein. Orbital MRI with gadolinium enhancement and fat suppression revealed a low-intensity signal in the left superior ophthalmic vein, consistent with a superior ophthalmic vein thrombosis. There was no cavernous sinus involvement. A diagnosis was made of left-sided dacryocystitis-induced orbital cellulitis and superior ophthalmic vein thrombosis. Treatment consisted of intravenous vancomycin, followed by early dacryocystorhinostomy and postoperative intravenous dexamethasone. Anticoagulation was not used. Within 1 week after surgery, the orbital congestion had dramatically improved. Though rare, isolated superior ophthalmic vein thrombosis can be a harbinger of cavernous sinus thrombosis; therefore, early detection is the key to avoiding cavernous sinus thrombosis.
Nicholas J Schmitt; Randall L Beatty; John S Kennerdell
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  21     ISSN:  0740-9303     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-10-19     Completed Date:  2006-02-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  387-9     Citation Subset:  IM    
Allegheny General Hospital, Pittsburgh, Pennsylvania 15212, USA.
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MeSH Terms
Cellulitis / diagnosis,  etiology*,  therapy
Combined Modality Therapy
Dacryocystitis / complications*,  diagnosis,  therapy
Dexamethasone / therapeutic use
Eye / blood supply
Magnetic Resonance Imaging
Orbital Diseases / diagnosis,  etiology*,  therapy
Tomography, X-Ray Computed
Vancomycin / therapeutic use
Venous Thrombosis / complications*,  diagnosis,  therapy
Reg. No./Substance:
1404-90-6/Vancomycin; 50-02-2/Dexamethasone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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