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

Makram Tbini; Mariam Ben Ayed; Miriam Boumediene; Myriam Jrad; Mamia Ben Salah

doi:10.1016/j.ijscr.2023.108173

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

Int J Surg Case Rep. 2023 May:106:108173. doi: 10.1016/j.ijscr.2023.108173. Epub 2023 Apr 13.

Authors

Makram Tbini¹, Mariam Ben Ayed², Miriam Boumediene³, Myriam Jrad³, Mamia Ben Salah²

Affiliations

¹ ENT Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia. Electronic address: makramtb@yahoo.com.
² ENT Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia.
³ Radiology Department, Charles Nicolle Hospital, Boulevard du 9-Avril 1938, 1006 Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia.

Abstract

Introduction and importance: Superior 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 presentation: A 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 discussion: SOVT is caused either by septic or aseptic causes. Treatment depends on the etiology. Corticosteroids and anticoagulants are controversial.

Conclusion: Early diagnosis is key to successful management of SOVT.

Keywords: Case report; Orbital cellulitis; Sinusitis; Superior ophthalmic vein; Thrombosis.

Publication types

Case Reports