Superior ophthalmic vein thrombosis in unique double origin: a case report

TL;DR

A 45-year-old woman developed superior ophthalmic vein thrombosis linked to diabetic ketoacidosis, highlighting the need to consider diabetes and infection in diagnosis.

Contribution

This case report presents a rare instance of SOVT associated with DKA, emphasizing its diagnostic and management implications.

Findings

SOVT was diagnosed via MRI in a patient with DKA.

Thrombolytic treatment, antibiotics, and glycemic control were effective.

The case underscores the link between DKA and prothrombotic states.

Abstract

Superior ophthalmic vein thrombosis (SOVT) is a rare orbital pathology. It can cause serious complications if it isn´t diagnosed appropriately. It can be secondary to many etiologies, septic or aseptic ones. Diabetic ketoacidosis (DKA) may disturb the vascular endothelium and promote a prothrombotic state. The presence of which is related to a significantly increased risk of morbidity and mortality. We report the case of a 45-year-old woman who presented a SOVT revealing DKA. Orbit magnetic resonance imaging (MRI) showed thrombosis of the right superior ophthalmic vein. A treatment based on thrombolytic treatment, associated with antibiotic coverage and a glycemic balance was initiated. This case highlights the importance of considering both infection and diabetes as an important part of the diagnosis and management of SOVT.

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