Abstract
IntroductionSuperior ophthalmic vein thrombosis is a rare entity, but is associated with significant morbidities. We describe a case in which superior ophthalmic vein thrombosis occurred shortly after severe facial trauma.Case presentationA 77-year-old Japanese man was transferred to our tertiary hospital after a motor vehicle accident. Le Fort III facial bone fractures and a minor cerebral contusion were detected. Follow-up computed tomography scans detected dilatation of his left superior ophthalmic vein on day 3 and thrombosis on day 12; however, no causative carotid cavernous fistula was observed. As he did not present with any symptoms other than slight conjunctival congestion, a conservative management strategy was adopted along with anticoagulant therapy against deep venous thrombosis. The superior ophthalmic vein thrombosis resolved spontaneously and the conjunctival congestion also improved.ConclusionsSuperior ophthalmic vein thrombosis should be taken into consideration and managed properly after severe facial injuries, and further investigation of its cause is necessary to prevent morbidities.
Highlights
Superior ophthalmic vein thrombosis is a rare entity, but is associated with significant morbidities
Superior ophthalmic vein thrombosis should be taken into consideration and managed properly after severe facial injuries, and further investigation of its cause is necessary to prevent morbidities
Superior ophthalmic vein (SOV) thrombosis is an extremely rare entity resulting from orbital congestion, such as that caused by infectious diseases, for example: paranasal sinusitis, orbital cellulitis, or septic cavernous sinus thrombosis; cavernous sinus, orbital, or skull base tumors; arteriovenous malformations; or cavernous sinus thrombosis [1,2,3,4,5]
Summary
We described a case of SOV thrombosis associated with severe facial injuries, which improved spontaneously. Careful observation of such cases for ophthalmologic symptoms and further investigations of the cause of the SOV thrombosis are necessary to prevent morbidities. Consent Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Competing interests The authors declare that they have no competing interests. Authors’ contributions MM, TY, HH, AI, KT, and KS took care of the patient. All of the authors have read and approved the final manuscript
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