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Retinal venous sheathing in multiple sclerosis.

L S Hamrick, M W King

    Journal of the American Optometric Association
    |February 1, 1984
    PubMed
    Summary
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    Retinal vein sheathing can occur in multiple sclerosis (MS). This case report details a patient with significant unilateral retinal vein sheathing and MS, discussing its various aspects.

    Area of Science:

    • Ophthalmology
    • Neurology
    • Medical Case Reports

    Background:

    • Multiple sclerosis (MS) is a chronic inflammatory demyelinating disease of the central nervous system.
    • Ocular manifestations are common in MS, with optic neuritis being the most frequent.
    • Retinal vein involvement, specifically sheathing, is a less common but documented finding in MS.

    Observation:

    • A case of a patient diagnosed with multiple sclerosis is presented.
    • The patient exhibited marked, unilateral retinal vein sheathing.
    • This specific ocular finding was observed in the context of their established MS diagnosis.

    Findings:

    • The report details a specific instance of unilateral retinal vein sheathing in a multiple sclerosis patient.
    • Discussion encompasses the epidemiology, etiology, and histopathology related to this association.

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  • Differential diagnosis and management strategies for this presentation are also explored.

    • Implications:

    • Highlights the importance of recognizing retinal vein sheathing as a potential sign in multiple sclerosis.
    • Contributes to understanding the spectrum of ocular manifestations in MS.
    • Informs clinical practice regarding the evaluation and management of MS patients with visual symptoms.