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Visual loss after long-haul flight.

Nurliyana Ain Abdul Ghani1,2, Azlindarita Aisyah Binti Mohd Abdullah3,4, Shamsiah Abdul Hamid5

  • 1University Malaya Eye Research Centre, Ophthalmology Department, Faculty of Medicine, University of Malaya, Malaysia.

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Deep cerebral venous sinus thrombosis, a serious condition linked to long flights, can cause vision loss but is reversible. Prompt diagnosis and treatment with anticoagulants lead to full recovery.

Keywords:
Visual losscerebral sinus thrombosislong-haul flight

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Area of Science:

  • Neurology
  • Vascular Medicine
  • Ophthalmology

Background:

  • Deep cerebral venous sinus thrombosis (CVST) is a rare but serious thromboembolic event.
  • Long-haul flights are associated with thromboembolic events like DVT and PE, with rare reports of CVST.
  • This case highlights CVST as a potential complication of prolonged air travel.

Purpose of the Study:

  • To report a case of bilateral papilledema secondary to deep cerebral venous sinus thrombosis following a long-haul flight.
  • To emphasize the importance of early diagnosis and treatment for this reversible condition.

Main Methods:

  • A case study of a 21-year-old woman presenting with visual loss after a long flight.
  • Diagnostic workup included fundus examination, blood tests, MRI, and MRV.
  • Treatment involved oral corticosteroids and anticoagulant therapy.

Main Results:

  • The patient presented with bilateral papilledema and a history of long-haul travel.
  • MRI/MRV confirmed thrombosis in the right transverse and left sigmoid sinuses.
  • Complete visual recovery was achieved with corticosteroid and anticoagulant treatment.

Conclusions:

  • Deep cerebral venous sinus thrombosis is a potential, serious complication of long-haul flights.
  • Early detection using radiological techniques and prompt anticoagulation are crucial for managing this reversible condition.