التفاصيل البيبلوغرافية
العنوان: |
Cavernous sinus thrombosis with bilateral orbital vein involvement and diffuse ischemic retinopathy. |
Alternate Title: |
Trombose do seio cavernoso com envolvimento bilateral das veias orbitais e retinopatia isquêmica difusa. (Portuguese) |
المؤلفون: |
Kim, Diana H., Bautista, Sana A., Mehta, Sonul, Briceño, César A. |
المصدر: |
Arquivos Brasileiros de Oftalmologia; 2023, Vol. 86 Issue 1, p79-82, 4p |
مصطلحات موضوعية: |
CAVERNOUS sinus, SINUS thrombosis, RETINAL artery, INTERNAL carotid artery, OPHTHALMIC artery, VEINS |
Abstract (English): |
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. [ABSTRACT FROM AUTHOR] |
Abstract (Portuguese): |
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. [ABSTRACT FROM AUTHOR] |
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قاعدة البيانات: |
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