![]() ![]() The pupillary light reflex was absent on the patient’s right side, which was suggestive of traumatic mydriasis, which resolved in a week. The ophthalmologist examined him on day one, which revealed that the intraocular pressure was within normal range bilaterally with no relative afferent pupillary defect. On arrival, he presented with bleeding from his nose and swelling of an eyelid, which prevented his ophthalmologic condition from being properly evaluated however, he did not complain of visual impairment. Superior ophthalmic vein thrombosis should be taken into consideration and managed properly after severe facial injuries, and further investigation of its cause is necessary to prevent morbidities.Ī 77-year-old Japanese man, who was hit by a midsize truck while driving a motorcycle, was transported by ambulance to our tertiary hospital after sustaining severe injuries to his face. The superior ophthalmic vein thrombosis resolved spontaneously and the conjunctival congestion also improved. As he did not present with any symptoms other than slight conjunctival congestion, a conservative management strategy was adopted along with anticoagulant therapy against deep venous thrombosis. Follow-up computed tomography scans detected dilatation of his left superior ophthalmic vein on day 3 and thrombosis on day 12 however, no causative carotid cavernous fistula was observed. Le Fort III facial bone fractures and a minor cerebral contusion were detected. Case presentationĪ 77-year-old Japanese man was transferred to our tertiary hospital after a motor vehicle accident. We describe a case in which superior ophthalmic vein thrombosis occurred shortly after severe facial trauma. Superior ophthalmic vein thrombosis is a rare entity, but is associated with significant morbidities. ![]()
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