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A lot of clot.

Authors
  • Grassi, Michael A
  • Lee, Andrew G
  • Kardon, Randy
  • Nerad, Jeffrey A
Type
Published Article
Journal
Survey of ophthalmology
Publication Date
Jan 01, 2003
Volume
48
Issue
5
Pages
555–561
Identifiers
PMID: 14499821
Source
Medline
License
Unknown

Abstract

A 37-year-old man presented with fever and a red, painful right eye. He had proptosis, conjunctival chemosis, and ophthalmoplegia OD. The patient had extremely poor dentition and had self decompressed a dental abscess prior to admission. Magnetic resonance imaging of the brain and orbital revealed extraocular muscle engorgement and a dilated superior ophthalmic vein OD. Orbital echography revealed a lack of flow in the right superior ophthalmic vein. An extensive hematologic evaluation for infection and inflammation was negative. A chest radiograph showed a lung abscess for which he received intravenous antibiotics. Over time, the periorbital erythema, ophthalmoplegia, proptosis, and pain resolved. Repeat MRI showed resolution of the orbital findings and repeat chest x-ray showed resolution of the left upper lobe abscess.

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