Journal article
Orbital Perivenous Abscess Complicating the Diagnosis and Management of Orbital Cellulitis
Ophthalmic plastic and reconstructive surgery, Vol.33(6), pp.e152-e154
11/2017
DOI: 10.1097/IOP.0000000000000920
PMID: 28481768
Abstract
An 11-year-old female presented with orbital cellulitis, bacterial sinusitis, enlarged left superior ophthalmic vein, dural venous sinuses, and internal jugular vein. The patient underwent endoscopic sinus surgery and was started on intravenous antibiotics and anticoagulation with limited improvement in orbital signs and symptoms. A magnetic resonance imaging/magnetic resonance venography of the orbits and brain revealed a dilated left superior ophthalmic vein with absence of flow but no clearly discernible orbital abscess. Intravenous corticosteroids resulted in dramatic improvement of pain, hypoglobus, proptosis, and extraocular motility, all of which rapidly recurred on discontinuation. Serial imaging revealed progression of what eventually manifested as a well-defined, rim-enhancing peri-superior ophthalmic vein abscess, which was incised and drained with prompt resolution of orbital cellulitis and complete visual recovery.
Details
- Title: Subtitle
- Orbital Perivenous Abscess Complicating the Diagnosis and Management of Orbital Cellulitis
- Creators
- Rohan Verma - Division of Oculofacial Plastic and Reconstructive Surgery, UC San Diego Department of Ophthalmology, Shiley Eye Institute, La Jolla, California, †Division of Oculofacial Plastic and Reconstructive Surgery, University of Miami Bascom Palmer Eye Institute, Miami, Florida, ‡Division of Radiology, Rady Children's Hospital, San Diego, California, and §Division of Plastic Surgery, University of California San Diego Division of Plastic Surgery, La Jolla, California, U.S.ABradford W LeeRamzi M AlameddineAudrey C KoParitosh C KhannaDon O KikkawaBobby S Korn
- Resource Type
- Journal article
- Publication Details
- Ophthalmic plastic and reconstructive surgery, Vol.33(6), pp.e152-e154
- DOI
- 10.1097/IOP.0000000000000920
- PMID
- 28481768
- ISSN
- 0740-9303
- eISSN
- 1537-2677
- Language
- English
- Date published
- 11/2017
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984102310702771
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