This is a severe suppurative thrombophlebitis, which can be part of the systemic sepsis.

bubble_chart Etiology

It often results from the spread of infection in adjacent orbital cellulitis or from metastatic infection caused by systemic pestilence.

bubble_chart Clinical Manifestations

1. Systemic symptoms: The condition is acute, with a sudden onset, including headache, nausea, vomiting, apathy or unconsciousness, neck stiffness, and supraorbital neuralgia.

2. Ocular symptoms: eyelid edema, proptosis, conjunctival edema, limited eye movement, drooping of the upper eyelid (blepharoptosis), dilated pupils, and loss of light reflex. Due to increased intraorbital pressure, retinal blood circulation is affected, leading to retinal varices and optic disc edema.

bubble_chart Diagnosis

In addition to the systemic toxic symptoms caused by the primary lesion, symptoms from metastatic infections of pyemia are present, especially in the early stages of the disease. The discovery of paralysis in the lateral rectus muscle of the opposite eye can serve as a distinguishing diagnostic sign.

bubble_chart Treatment Measures

Treat the disease cause with targeted therapy, administer broad-spectrum antibiotics systemically in large doses, and combine with corticosteroids. When a mass appears on the conjunctiva or skin surface, perform an incision to expel pus and insert a rubber strip for drainage. Inflammations in the tissues adjacent to the canthus should be treated accordingly.