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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
PubMed

Insights

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.
  • 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.

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