Superior ophthalmic vein thrombosis, a grave  complication of orbital cellulitis: A case report

Shah Devanshi Uday; Suthar Apurva Harendrakumar

Volume : III, Issue : VII, July - 2013

Superior ophthalmic vein thrombosis, a grave complication of orbital cellulitis: A case report

Shah Devanshi Uday, Suthar Apurva Harendrakumar

Abstract :

In this antibiotic era, the complications of orbital cellulitis are uncommon but can be potentially sight and life threatening. The progression from orbital cellulitis to its complications can be quite rapid. A 40 year old, male patient initial presented as a case of orbital cellulitis secondary to skin infection. Systemic antibiotics were commenced. However there was worsening of the condition with increase in proptosis, restriction in ocular movements, severe chemosis, with other signs of venous congestion. MRI orbit with gadolinium enhancement was done which showed findings consistent with the diagnosis of unilateral superior ophthalmic vein thrombosis. Along with intravenous antibiotics, anticoagulant therapy was initiated which led to improvement with no residual deficits within 5 days. This case report signifies the importance of recognition of this rare entity and its implications on management and prognosis.