David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
Division of Orbital and Ophthalmic Plastic Surgery, Doheny and Stein Eye Institutes, University of California, Los Angeles, Los Angeles, California, U.S.A.
Ophthalmic Plast Reconstr Surg. 2021;37(3S):S144-S148. doi: 10.1097/IOP.0000000000001818.
Isolated orbital periphlebitis in the context of nonspecific orbital inflammation is rare. This case series describes 3 patients with periphlebitis of the superior ophthalmic vein, 2 of which were confirmed with pathology. All 3 cases had a history of Graves hyperthyroidism. Superior ophthalmic vein periphlebitis is a rare form of orbital inflammation presenting with proptosis and motility restriction yet few inflammatory signs. It may be associated with autoimmune hyperthyroidism and represent a rare feature of thyroid eye disease, or perhaps could be an overlap syndrome between thyroid eye disease and nonspecific orbital inflammation. Treatment response is variable and may require a prolonged course of steroids or other immunosuppressive medications.
孤立性眼眶外周静脉炎在非特异性眼眶炎症中较为罕见。本病例系列描述了 3 例上腔静脉外周静脉炎患者，其中 2 例经病理证实。所有 3 例均有格雷夫斯甲状腺功能亢进症病史。上腔静脉外周静脉炎是一种罕见的眼眶炎症形式，表现为眼球突出和运动受限，但炎症体征较少。它可能与自身免疫性甲状腺功能亢进症有关，代表甲状腺眼病的一种罕见特征，或者可能是甲状腺眼病和非特异性眼眶炎症之间的重叠综合征。治疗反应各不相同，可能需要长期使用类固醇或其他免疫抑制药物。
