Intraorbital heroin injection resulting in orbital cellulitis and superior ophthalmic vein thrombosis

被引:14
作者
Ghosheh, Faris R. [1 ]
Kathuria, Sajeev S. [1 ]
机构
[1] Univ Maryland, Dept Ophthalmol, Baltimore, MD 21201 USA
关键词
D O I
10.1097/01.iop.0000248991.71690.eb
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
A 47-year-old man with decreased vision, ophthalmoplegia, proptosis, and chemosis of his right eye admitted to injecting heroin directly into his orbit. He was placed on intravenous antibiotics for orbital cellulitis, and computed tomography and magnetic resonance imaging were performed. Superior ophthalmic vein thrombosis (SOVT) was noted on magnetic resonance imaging. The patient responded well to intravenous antibiotics, and his symptoms resolved with minimal deficits. Steroids and anticoagulants were not administered. We review the pathogenesis of septic SOVT and briefly discuss the role of anticoagulants and steroids in this setting.
引用
收藏
页码:473 / 475
页数:3
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