title: Superior ophthalmic vein thrombosis as an initial manifestation of antiphospholipid syndrome.
abstract: OBJECTIVE
  To report an uncommon case of superior ophthalmic vein occlusion secondary to antiphospholipid syndrome.
  
  
  METHODS
  Interventional case report.
  
  
  RESULTS
  A 41 year old man who presented with acute proptosis and ophthalmoplegia who was initially treated for orbital cellulitis. His CT scan showed changes consistent of that a superior ophthalmic vein thrombosis. He was managed with high dose intravenous steroid and commenced on anticoagulant therapy. He was subsequently diagnosed with antiphospholipid syndrome.
  
  
  CONCLUSIONS
  Although superior ophthalmic vein occlusion is rare it is an important differential. This is the first reported case secondary to antiphospholipid syndrome.
authors: Maidstone Hospital, Maidstone, Kent, United Kingdom. moloydey2003@yahoo.com
authors: Moloy
authors: M
authors: Dey
authors: Adam
authors: A
authors: Charles Bates
authors: Philip
authors: P
authors: McMillan
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D016736:Antiphospholipid Syndrome / Q000175:diagnosis* / Q000188:drug therapy; D017985:Dalteparin / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005094:Exophthalmos / Q000175:diagnosis; D005123:Eye / Q000098:blood supply*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000188:drug therapy; D014792:Visual Acuity
chemical_list: D000925:Anticoagulants; D005938:Glucocorticoids; D017985:Dalteparin; D008775:Methylprednisolone