CASE 477: LEFT EXOPTHALMIC EYE, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 52 yo with  cough and pain at left eye, protrusion the orbis and edema the cornea for one week (photo).

MRI of the eye and or brain.

MRI 1=   frontal view  of the left exopthalmic eye.

MRI 2=  frontal section of the left orbis.  edema of the  intra orbis muscles,

MRI 3=   crossed section of left orbis  : left superior opthalmic vein dilated.  

MRI 4=   the muscles in orbis are edema  and  cavernous sinus  is not  abnormal.

For  make  sure diagnostic  DSA was done that  detected  A-V fistula at  cavernous sinus.

DSA  with dilated opthalmic vein=   DSA1  putting of the coil,   DSA 2 after treatment. Coil embolisation is  spectacular reduction clinical sign  (photo 2).

The left eye returns  near normal 24 hrs after treatment.

Conclusion:    Basis clinical signs of MRI and DSA   can make diagnosis  and spectacular  treatment. success. 

Reference:  Anatomy of eye circulation.