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Published on: May 5, 2022
Bilateral isolated concurrent superior ophthalmic vein thrombosis in systemic lupus erythematosus
Kumar Sambhav1, Omar Shakir1, Kakarla V Chalam1
1Department of Ophthalmology, College of Medicine - Jacksonville, University of Florida, Jacksonville, FL, USA.
Abstract:
We describe a case of bilateral consecutive superior ophthalmic vein thrombosis as a presenting feature in a patient previously not known to have systemic lupus erythematosus (SLE). A 68-year-old African-American female presented with decreased vision in right eye, mild right orbital tenderness, and frontotemporal headache of 3 days duration. MRI of the orbits confirmed thrombosis of the right superior ophthalmic vein without extension into the cavernous sinus. Sequential MRI at 1 month showed interval improvement of the right superior ophthalmic vein thrombosis and a new thrombosis in the left superior ophthalmic vein. Renal biopsy revealed granular membranous and mesangial deposits of IgG, IgA, IgM, C3, and C1q and confirmed the diagnosis of SLE.
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