Abstract
We present the case of a 33-year-old woman, a heavy cigarette smoker, with unilateral palpebral edema, exophthalmos and dilatation of the retinal veins. CT scan was normal. An isolated thrombosis of the superior ophthalmic vein was suspected since it was impossible to visualize the ophthalmic veins by carotid arteriography. Attempts to do a frontal venography were unsuccessful. The patient was treated for five months with anticoagulant drugs (heparin and coumarin), with subsequent normalization of the clinical picture. At this time successful frontal venography showed a normal venous system in the two orbits. Occlusion (thrombosis?) of the orbital veins, even if rare, must be considered in the presence of exophthalmos with palpebral edema with the characteristics of venous stasis. Anticoagulant therapy is recommended.
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