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Related Experiment Videos

Post-traumatic ophthalmic vein arterialization.

S H Lee, C V Burton, G H Chan

    Surgical Neurology
    |November 1, 1975
    PubMed
    Summary
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    A missile injury caused unusual post-traumatic exophthalmos. Early diagnosis of arterialized ophthalmic vein is crucial to prevent exsanguination and guide therapy.

    Area of Science:

    • Ophthalmology
    • Trauma Surgery
    • Vascular Surgery

    Background:

    • Post-traumatic exophthalmos can result from various head and orbital injuries.
    • Missile injuries present unique challenges in diagnosis and management due to their trajectory and potential for vascular damage.

    Observation:

    • An unusual case of post-traumatic exophthalmos following a missile injury is described.
    • The exophthalmos presented without typical signs of arteriovenous fistula, such as pulsation, bruit, or thrill.
    • The key finding was the arterialization of the ophthalmic vein.

    Findings:

    • Arterialization of the ophthalmic vein, though rare, is a critical complication of orbital trauma.
    • This condition can lead to significant blood loss (exsanguination) if not promptly identified and treated.

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  • The absence of pulsation, bruit, or thrill can delay diagnosis, highlighting the need for high clinical suspicion.

    • Implications:

    • Early diagnosis of arterialized ophthalmic vein is vital to prevent potentially fatal exsanguination.
    • Carotid arteriography is recommended for accurate diagnosis and to delineate the vascular pathology.
    • Prompt therapeutic intervention is necessary to manage this sight- and life-threatening condition.