Chen Lu, Guo Uta S, Grutman Gennadiy, McFarlane Samy I, Mehta Parag
Department of Cardiology, State University of New York Downstate Medical Center, Brooklyn, USA.
Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, USA.
Cureus. 2021 Oct 25;13(10):e19038. doi: 10.7759/cureus.19038. eCollection 2021 Oct.
Superior ophthalmic vein thrombosis (SOVT) is a rare ophthalmologic emergency. The most common etiologies include infection, trauma, inflammation, and malignancy, as well as thyroid-related orbitopathy. Early identification and timely intervention can lead to a significant decrease in complications that include cavernous sinus thrombosis (CST), vision loss, and death. This rare disease entity almost always makes its initial presentation to internal medicine or emergency medicine (EM) physicians. In this report, we present a case of SOVT that presented overnight to the emergency department for worsening right facial swelling and orbital pain. We discuss our experience with the evaluation and management of SOVT and provide a review of the currently available literature to emphasize the importance of obtaining a full history and physical examination, seeking early imaging studies, and ophthalmology consultation for patients with suspected SOVT.
眼上静脉血栓形成（SOVT）是一种罕见的眼科急症。最常见的病因包括感染、创伤、炎症、恶性肿瘤以及甲状腺相关眼病。早期识别和及时干预可显著降低包括海绵窦血栓形成（CST）、视力丧失和死亡在内的并发症发生率。这种罕见的疾病几乎总是首先在内科或急诊科（EM）医生处就诊。在本报告中，我们介绍了一例SOVT病例，该患者夜间因右侧面部肿胀和眼眶疼痛加重而到急诊科就诊。我们讨论了我们对SOVT评估和管理的经验，并对现有文献进行了综述，以强调对疑似SOVT患者进行全面病史采集和体格检查、尽早进行影像学检查以及眼科会诊的重要性。
