A lot of clot

Surv Ophthalmol. 2003 Sep-Oct;48(5):555-61. doi: 10.1016/s0039-6257(03)00088-2.


A 37-year-old man presented with fever and a red, painful right eye. He had proptosis, conjunctival chemosis, and ophthalmoplegia OD. The patient had extremely poor dentition and had self decompressed a dental abscess prior to admission. Magnetic resonance imaging of the brain and orbital revealed extraocular muscle engorgement and a dilated superior ophthalmic vein OD. Orbital echography revealed a lack of flow in the right superior ophthalmic vein. An extensive hematologic evaluation for infection and inflammation was negative. A chest radiograph showed a lung abscess for which he received intravenous antibiotics. Over time, the periorbital erythema, ophthalmoplegia, proptosis, and pain resolved. Repeat MRI showed resolution of the orbital findings and repeat chest x-ray showed resolution of the left upper lobe abscess.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Infective Agents / therapeutic use
  • Conjunctival Diseases / diagnosis*
  • Conjunctival Diseases / drug therapy
  • Diagnosis, Differential
  • Exophthalmos / diagnosis
  • Hemorrhage / diagnosis*
  • Hemorrhage / drug therapy
  • Humans
  • Infusions, Intravenous
  • Lung Abscess / diagnostic imaging
  • Magnetic Resonance Imaging
  • Male
  • Ophthalmoplegia / diagnosis*
  • Ophthalmoplegia / drug therapy
  • Periodontal Abscess / diagnosis
  • Periodontal Abscess / drug therapy
  • Radiography
  • Retinal Vein Occlusion / diagnosis*
  • Retinal Vein Occlusion / drug therapy
  • Sepsis / diagnosis*
  • Sepsis / drug therapy


  • Anti-Infective Agents