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Dilated superior ophthalmic vein: systemic associations
Khizar Rana1,2, Valerie Juniat3,4, James Slattery3,4
1Department of Ophthalmology and Visual Sciences, University of Adelaide, North Terrace, 5000, Australia. khizar.rana@adelaide.edu.au.
International Ophthalmology
|July 1, 2023
Summary
Dilated superior ophthalmic veins (SOV) can indicate serious conditions like cardiac failure or vascular disease. Early identification of these venous changes is crucial for timely diagnosis and management.
Area of Science:
- Ophthalmology
- Cardiology
- Vascular Medicine
Background:
- Dilated superior ophthalmic veins (SOV) can mimic serious orbital or neurological conditions.
- Identifying systemic associations is key to accurate diagnosis and management.
Purpose of the Study:
- To review systemic associations of patients with dilated SOV.
- To exclude cases related to orbital, cavernous sinus, or neurological disease.
Main Methods:
- Retrospective review of patients with SOV diameter ≥ 5.0 mm.
- Exclusion of patients with secondary causes of SOV dilation.
- Collection of patient demographics, medical history, and SOV measurements.
Main Results:
- Nine patients identified (age 58-89, 6/9 female).
- Dilated SOV associated with cardiac failure (n=3) and cardiovascular risk factors (n=5).
- Other associations included clotting disorders and giant cell arteritis.
Conclusions:
- Dilated SOV can be a sign of cardiac failure and raised venous pressures.
- It may also indicate underlying cardiovascular disease.
- Dilated SOV warrants investigation for systemic conditions, not solely orbital pathology.
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