Ophthal Plast Reconstr Surg 2017 Nov/Dec;33(6):e152-e154
*Division of Oculofacial Plastic and Reconstructive Surgery, UC San Diego Department of Ophthalmology, Shiley Eye Institute, La Jolla, California, †Division of Oculofacial Plastic and Reconstructive Surgery, University of Miami Bascom Palmer Eye Institute, Miami, Florida, ‡Division of Radiology, Rady Children's Hospital, San Diego, California, and §Division of Plastic Surgery, University of California San Diego Division of Plastic Surgery, La Jolla, California, U.S.A.
An 11-year-old female presented with orbital cellulitis, bacterial sinusitis, enlarged left superior ophthalmic vein, dural venous sinuses, and internal jugular vein. The patient underwent endoscopic sinus surgery and was started on intravenous antibiotics and anticoagulation with limited improvement in orbital signs and symptoms. A magnetic resonance imaging/magnetic resonance venography of the orbits and brain revealed a dilated left superior ophthalmic vein with absence of flow but no clearly discernible orbital abscess. Read More