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Related Experiment Video

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Rat Model of Photochemically-Induced Posterior Ischemic Optic Neuropathy

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[Septic superior ophthalmic vein thrombosis].

Layla Henry Abdulahad¹, Birgit Bollinger, Carsten Thomsen

¹Rigshospitalet, Diagnostisk Center, Radiologisk Klinik X. layla@dadlnet.dk

Ugeskrift for Laeger

|June 1, 2007

Summary

Septic superior ophthalmic vein thrombosis is a rare condition. This case highlights a pharyngeal infection spreading to the pterygoid fossa, leading to this serious eye condition.

Area of Science:

Ophthalmology
Vascular Surgery
Infectious Diseases

Background:

Septic thrombosis of the superior ophthalmic vein is an uncommon but serious condition.
It can arise from infections in the head and neck region.
Early diagnosis and treatment are crucial to prevent severe complications.

Observation:

An 84-year-old man presented with symptoms suggestive of an extracranial infection.
The suspected infection originated in the pharynx and extended to the pterygoid fossa.
The patient's condition developed insidiously over several weeks.

Findings:

Magnetic resonance (MR) scanning confirmed septic right superior ophthalmic vein thrombosis.
The case illustrates an unusual pathway for infection leading to ophthalmic vein thrombosis.

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Review of the literature on this rare cause of red, swollen eye is included.

Implications:

This case underscores the importance of considering deep facial infections as a source of ophthalmic vein thrombosis.
Prompt diagnosis via advanced imaging like MR is vital.
Understanding the pathophysiology aids in managing this rare but potentially devastating condition.