Abstrakt
Introduction: Thrombosis of the supraorbital vein is a rare and serious pathological process of the eye orbit, which can be manifested by a sudden development of a painful exophthalmos, congestion of the venous system of the orbit, and impairment of sight. Description of the case: The paper presents the case of a 36 years old patient suffering from isolated thrombosis of the supraorbital vein in the terrain of varices of the orbit to the right.
The patient was referred to our clinic because of a sudden development of an exophthalmos and a swelling of the upper eyelid to the right with diplopia. Magnetic resonance of the brain with contrast revealed thrombosis of the varicosely extended supraorbital vein of the right orbit, without further affection of the cavernous sinus.
In addition, varices of the orbit were demonstrated on both sides. In cooperation with haematologists, conservative treatment was carried out employing full anticoagulant therapy using low-molecular heparin with subsequent regression of the exophthalmos.
Positive antibodies lupus anticoagulant were demonstrated and permanent anticoagulant treatment was indicated for the patient. Method: The case will be presented in the form of a case report.
Conclusion: Thrombosis of the supraorbital vein is a rare pathology, in particular in connection with varices, which is necessary to take into consideration in differential diagnostics of pathological processes of the orbit. Our observation presents a rare case of SOVT with typical symptoms, which developed on the basis of the varices of the supraorbital vein of the right orbit and a thrombophilic condition.
Thanks to an early performed imaging of the brain with contrast, SOVT diagnosis was established and anticoagulant treatment with low-molecular heparin commenced, after which the troubles of the patient were completely cured. An early and exact diagnosis followed by an adequate therapy is essential for decreasing the risk of irreversible loss of sight in this sight-threatening pathology.