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

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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.




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