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Cavernous sinus thrombosis with bilateral orbital vein involvement and diffuse ischemic retinopathy / Trombose do seio cavernoso com envolvimento bilateral das veias orbitais e retinopatia isquêmica difusa
Kim, Diana H.; Bautista, Sana A.; Mehta, Sonul; Briceño, César A..
  • Kim, Diana H.; University of Pennsylvania. Scheie Eye Institute. Department of Ophthalmology. Philadelphia. US
  • Bautista, Sana A.; University of Pennsylvania. Scheie Eye Institute. Department of Ophthalmology. Philadelphia. US
  • Mehta, Sonul; University of Pennsylvania. Scheie Eye Institute. Department of Ophthalmology. Philadelphia. US
  • Briceño, César A.; University of Pennsylvania. Scheie Eye Institute. Department of Ophthalmology. Philadelphia. US
Arq. bras. oftalmol ; 86(1): 79-82, Jan.-Feb. 2023. graf
Article in English | LILACS | ID: biblio-1403484
ABSTRACT
ABSTRACT A 53-year-old man with a 3-day history of periorbital swelling and vision loss in the left eye was found to have septic cavernous sinus thrombosis with bilateral orbital vein involvement causing congestive orbitopathy. He was treated with an emergent canthotomy and cantholysis, intraocular pressure-lowering drops, antibiotics, anticoagulation, and serial examinations. Optical coherence tomography ultimately revealed diffuse ischemic destruction of both layers of the retina, which suggested occlusion of the ophthalmic artery or the short posterior ciliary arteries and central retinal artery without intracavernous internal carotid artery involvement. The patient remained without light perception in the left eye after treatment.
RESUMO
RESUMO Um homem de 53 anos, com história de 3 dias de edema periorbital e perda de visão no olho esquerdo, apresentou trombose séptica do seio cavernoso com envolvimento bilateral das veias orbitais, causando uma orbitopatia congestiva. O paciente foi tratado com uma cantotomia e cantólise de emergência, colírios para redução da pressão intraocular, antibióticos, anticoagulantes e exames seriados. A tomografia de coerência óptica finalmente demonstrou destruição isquêmica difusa de ambas as camadas da retina, sugerindo uma oclusão da artéria oftálmica ou das artérias ciliares posteriores curtas e da artéria retiniana central, com ausência de envolvimento do segmento intracavernoso da artéria carótida interna. O paciente permaneceu sem percepção luminosa no olho esquerdo.
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Full text: Available Index: LILACS (Americas) Main subject: Cavernous Sinus Thrombosis Limits: Humans Language: English Journal: Arq. bras. oftalmol Journal subject: Ophthalmology Year: 2023 Type: Article Affiliation country: United States Institution/Affiliation country: University of Pennsylvania/US

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Full text: Available Index: LILACS (Americas) Main subject: Cavernous Sinus Thrombosis Limits: Humans Language: English Journal: Arq. bras. oftalmol Journal subject: Ophthalmology Year: 2023 Type: Article Affiliation country: United States Institution/Affiliation country: University of Pennsylvania/US