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Cavernous sinus thrombosis with bilateral orbital vein involvement and diffuse ischemic retinopathy
Diana H Kim1, Sana A Bautista1, Sonul Mehta1
1Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania, Philadelphia, PA, USA.
Arquivos Brasileiros De Oftalmologia
|February 16, 2022
Summary
Septic cavernous sinus thrombosis caused vision loss and retinal ischemia. Despite treatment, the patient experienced permanent vision loss in the affected eye.
Area of Science:
- Ophthalmology
- Neurology
- Infectious Diseases
Background:
- Septic cavernous sinus thrombosis is a rare but serious condition.
- Orbital involvement can lead to significant visual impairment.
Observation:
- A 53-year-old man presented with periorbital swelling and left eye vision loss.
- Examination revealed septic cavernous sinus thrombosis with bilateral orbital vein involvement.
Findings:
- Treatment included canthotomy, pressure-lowering drops, antibiotics, and anticoagulation.
- Optical coherence tomography showed diffuse retinal ischemic destruction.
- Vascular occlusion suggested ophthalmic or ciliary artery involvement, not carotid.
Implications:
- This case highlights the severe ophthalmic complications of cavernous sinus thrombosis.
- Prompt diagnosis and multidisciplinary treatment are crucial.
- Permanent vision loss can occur despite aggressive management.
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