Survey of Ophthalmology
Volume 55, Issue 5 , Pages 467-480, September 2010

Forget Me Not

  • Behin Barahimi, MD

      Affiliations

    • Wills Eye Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
    • ,
  • Ann P. Murchison, MD, MPH

      Affiliations

    • Oculoplastic and Orbital Surgery Service, Wills Eye Institute, Philadelphia, Pennsylvania, USA
    • Corresponding Author InformationReprint address: Ann P. Murchison, MD, MPH, Wills Eye Institute, 840 Walnut St., Suite 910, Philadelphia, PA 19107.
    • ,
  • Jurij R. Bilyk, MD

      Affiliations

    • Oculoplastic and Orbital Surgery Service, Wills Eye Institute, Philadelphia, Pennsylvania, USA

published online 29 March 2010.

Peter Savino and Helen Danesh-Meyer, Editors

Abstract 

A 37-year-old man presented with a facial abscess that progressed to external ophthalmoplegia and proptosis. Neuroimaging was consistent with cavernous sinus thrombosis. The diagnosis, management options, and management controversies of septic cavernous sinus thrombosis are discussed, including neuroimaging, antibiotic choice, and the role of corticosteroids and anticoagulation.

Key words: anticoagulation, cavernous sinus thrombosis, central venous sinus anatomy, corticosteroids, CT, heparin, methicillin-resistant organisms, MRI, MRSA, orbital cellulitis, orbital venous anatomy, sepsis

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 The authors reported no proprietary or commercial interest in any product mentioned or concept discussed in this article.

PII: S0039-6257(09)00312-9

doi:10.1016/j.survophthal.2009.12.001

Survey of Ophthalmology
Volume 55, Issue 5 , Pages 467-480, September 2010

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