Superior ophthalmic vein and cavernous sinus thrombosis associated with COVID-19: a case report
ABSTRACT Cavernous sinus and superior ophthalmic vein thrombosis is a rare clinical condition, and little described in the literature. The clinical presentation is nonspecific and highly variable, and symptoms may include red eye, ophthalmoplegia, coma, and death. The main etiology results from infe...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Oftalmologia
2023-04-01
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| Series: | Revista Brasileira de Oftalmologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802023000100504&lng=en&tlng=en |
| _version_ | 1797852842248110080 |
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| author | Pedro Henrique Alves Soares José Roberto Costa Reis Stella Pádua Nogueira Teixeira |
| author_facet | Pedro Henrique Alves Soares José Roberto Costa Reis Stella Pádua Nogueira Teixeira |
| author_sort | Pedro Henrique Alves Soares |
| collection | DOAJ |
| description | ABSTRACT Cavernous sinus and superior ophthalmic vein thrombosis is a rare clinical condition, and little described in the literature. The clinical presentation is nonspecific and highly variable, and symptoms may include red eye, ophthalmoplegia, coma, and death. The main etiology results from infection of the paranasal sinuses. The final diagnosis must be made through imaging tests such as magnetic resonance imaging. We describe a case of cavernous sinus and superior ophthalmic vein thrombosis after COVID-19 infection in a 64-year-old patient with persistent ocular hyperemia and pain on eye movement. Ophthalmological examination showed preserved visual acuity, conjunctival hyperemia, dilation of episcleral vessels and retinal vascular tortuosity in the right eye. Magnetic resonance imaging confirmed the diagnosis. The association with the COVID-19 was raised, excluding other infectious causes. Enoxaparin and Warfarin were started with significant improvement in the ocular clinical presentation and maintenance of initial visual acuity after 12 months of follow-up. |
| first_indexed | 2024-04-09T19:40:50Z |
| format | Article |
| id | doaj.art-3d389ad275054409b2521af65efa67fb |
| institution | Directory Open Access Journal |
| issn | 1982-8551 |
| language | English |
| last_indexed | 2024-04-09T19:40:50Z |
| publishDate | 2023-04-01 |
| publisher | Sociedade Brasileira de Oftalmologia |
| record_format | Article |
| series | Revista Brasileira de Oftalmologia |
| spelling | doaj.art-3d389ad275054409b2521af65efa67fb2023-04-04T07:32:23ZengSociedade Brasileira de OftalmologiaRevista Brasileira de Oftalmologia1982-85512023-04-018210.37039/1982.8551.20230012Superior ophthalmic vein and cavernous sinus thrombosis associated with COVID-19: a case reportPedro Henrique Alves Soareshttps://orcid.org/0000-0002-9939-5334José Roberto Costa Reishttps://orcid.org/0000-0001-9888-6839Stella Pádua Nogueira Teixeirahttps://orcid.org/0000-0002-1131-1475ABSTRACT Cavernous sinus and superior ophthalmic vein thrombosis is a rare clinical condition, and little described in the literature. The clinical presentation is nonspecific and highly variable, and symptoms may include red eye, ophthalmoplegia, coma, and death. The main etiology results from infection of the paranasal sinuses. The final diagnosis must be made through imaging tests such as magnetic resonance imaging. We describe a case of cavernous sinus and superior ophthalmic vein thrombosis after COVID-19 infection in a 64-year-old patient with persistent ocular hyperemia and pain on eye movement. Ophthalmological examination showed preserved visual acuity, conjunctival hyperemia, dilation of episcleral vessels and retinal vascular tortuosity in the right eye. Magnetic resonance imaging confirmed the diagnosis. The association with the COVID-19 was raised, excluding other infectious causes. Enoxaparin and Warfarin were started with significant improvement in the ocular clinical presentation and maintenance of initial visual acuity after 12 months of follow-up.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802023000100504&lng=en&tlng=enCavernous sinus thrombosisVenous thrombosisCOVID-19SARS-CoV-2Coronavirus infections |
| spellingShingle | Pedro Henrique Alves Soares José Roberto Costa Reis Stella Pádua Nogueira Teixeira Superior ophthalmic vein and cavernous sinus thrombosis associated with COVID-19: a case report Revista Brasileira de Oftalmologia Cavernous sinus thrombosis Venous thrombosis COVID-19 SARS-CoV-2 Coronavirus infections |
| title | Superior ophthalmic vein and cavernous sinus thrombosis associated with COVID-19: a case report |
| title_full | Superior ophthalmic vein and cavernous sinus thrombosis associated with COVID-19: a case report |
| title_fullStr | Superior ophthalmic vein and cavernous sinus thrombosis associated with COVID-19: a case report |
| title_full_unstemmed | Superior ophthalmic vein and cavernous sinus thrombosis associated with COVID-19: a case report |
| title_short | Superior ophthalmic vein and cavernous sinus thrombosis associated with COVID-19: a case report |
| title_sort | superior ophthalmic vein and cavernous sinus thrombosis associated with covid 19 a case report |
| topic | Cavernous sinus thrombosis Venous thrombosis COVID-19 SARS-CoV-2 Coronavirus infections |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802023000100504&lng=en&tlng=en |
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