Open AccessCavernous sinus thrombosis with bilateral orbital vein involvement and diffuse ischemic retinopathy
Author(s) -
Diana H. Kim,
Sana Bautista,
Sonul Mehta,
César A. Briceño
Publication year - 2021
Publication title -
arquivos brasileiros de oftalmologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.603
H-Index - 29
eISSN - 1678-2925
pISSN - 0004-2749
DOI - 10.5935/0004-2749.20220077
Subject(s) - medicine , cavernous sinus thrombosis , ophthalmic artery , central retinal vein , central retinal artery , thrombosis , cavernous sinus , occlusion , ophthalmology , surgery , internal carotid artery , retinal , radiology , blood flow
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.