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.

Original languageEnglish (US)
Pages (from-to)555-561
Number of pages7
JournalSurvey of Ophthalmology
Issue number5
StatePublished - 2003


  • Coaguability
  • Oral abscess
  • Proptosis
  • Septic thrombosis
  • Sinusitis
  • Superior ophthalmic vein

ASJC Scopus subject areas

  • Ophthalmology


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