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Isolated Superior Ophthalmic Vein Thrombosis.
Richard Yi1, Ryan Gabbard1, James Pratt2
1Department of Ophthalmology, University of South Carolina/Prisma Health.
Ophthalmic Plastic and Reconstructive Surgery
|May 21, 2024
Summary
This case report details a rare instance of isolated superior ophthalmic vein thrombosis in a 74-year-old female. Prompt anticoagulation led to symptom resolution, highlighting the need for urgent evaluation of this uncommon condition.
Area of Science:
- Ophthalmology
- Vascular Surgery
- Neurology
Background:
- Superior ophthalmic vein thrombosis (SOVT) is a rare condition often associated with infections or hypercoagulable states.
- Prompt diagnosis and management are crucial to prevent vision loss and intracranial complications.
- Risk factors are multifactorial, with infectious etiologies being the most common.
Observation:
- A 74-year-old female presented with acute eye pain, proptosis, ptosis, and chemosis.
- Neuroimaging revealed isolated superior ophthalmic vein thrombosis, presumed secondary to superior vein varix thrombosis.
- Extensive laboratory workups for hypercoagulable, infectious, and autoimmune causes were unremarkable.
Findings:
- The patient received anticoagulation therapy.
- Symptoms resolved following anticoagulation.
- This case is unique due to the absence of identifiable risk factors.
Implications:
- Isolated SOVT, even without clear risk factors, necessitates urgent ophthalmological and potentially neurological evaluation.
- Anticoagulation can be an effective treatment for SOVT, leading to symptom resolution.
- Further research into the etiology of idiopathic SOVT may be warranted.
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