Periphlebitis of the Superior Ophthalmic Vein

Jiyoung J. Lee, Liza M. Cohen, Christopher C. Lo, Daniel B. Rootman

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Isolated orbital periphlebitis in the context of nonspecific orbital inflammation is rare. This case series describes 3 patients with periphlebitis of the superior ophthalmic vein, 2 of which were confirmed with pathology. All 3 cases had a history of Graves hyperthyroidism. Superior ophthalmic vein periphlebitis is a rare form of orbital inflammation presenting with proptosis and motility restriction yet few inflammatory signs. It may be associated with autoimmune hyperthyroidism and represent a rare feature of thyroid eye disease, or perhaps could be an overlap syndrome between thyroid eye disease and nonspecific orbital inflammation. Treatment response is variable and may require a prolonged course of steroids or other immunosuppressive medications.

Original languageEnglish (US)
Pages (from-to)S144-S148
JournalOphthalmic plastic and reconstructive surgery
Volume37
Issue number3
DOIs
StatePublished - May 1 2021
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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