A superior ophthalmic vein thrombosis following an acute pansinusitis: A case report

• Published in: International journal of surgery case reports Vol. 106; p. 108173
• Main Authors: Tbini, Makram, Ben Ayed, Mariam, Boumediene, Miriam, Jrad, Myriam, Ben Salah, Mamia
• Format: Report
• Language: English
• Published: 01-05-2023
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2023.108173

INTRODUCTION AND IMPORTANCESuperior ophthalmic vein thrombosis (SOVT) is a very rare condition that can occur following either septic or aspetic causes. Early recognition and management is important in order to avoid vision-threatening and fatal complications. CASE PRESENTATIONA 28-year-old man presented with orbital cellulitis complicating acute pansinusitis. CT scan revealed ipsilateral SOVT. The patient received intravenous antibiotics and anticoagulation with strict ophthalmic monitoring. No orbital complications were recorded during the course of treatment. CLINICAL DISCUSSIONSOVT is caused either by septic or aseptic causes. Treatment depends on the etiology. Corticosteroids and anticoagulants are controversial. CONCLUSIONEarly diagnosis is key to successful management of SOVT.