[Skip to Navigation]
January 1974

The Resident's Page

Author Affiliations

The Methodist Hospital, Houston 77025

Arch Otolaryngol. 1974;99(1):74-76. doi:10.1001/archotol.1974.00780030078014


Warren Patterson, MD, Robert Rosnagle MD, K.J. Lee, MD, New Haven, Conn  A 13-year-old white boy awoke with pain in the right eye. Periorbital edema and proptosis of that eye gradually developed over the next 24 hours. A review of the system revealed no abnormalities except for a vague history of an upper respiratory infection. No history of trauma could be elicited from the patient or his parents. There were no previous signs or symptoms to suggest chronic sinusitis. Tonsillectomy in February 1972, was uneventful with a normal complete blood count (CBC), partial thromboplastin generation test (PTT), and prothrombin time.Physical examination revealed a well-developed, well-nourished boy with pain in the right eye. The right eye was proptosed with limitation of extraocular movements. Diplopia was present on upward gaze. There was no subconjunctival hemorrhage though there was some ecchymosis of the upper lid. The remainder of