PT - JOURNAL ARTICLE AU - Ladner, Travis R AU - Davis, Brandon J AU - He, Lucy AU - Mawn, Louise A AU - Mocco, J TI - Transorbital superior ophthalmic vein sacrifice to preserve vision in ocular hypertension from aseptic cavernous sinus thrombosis AID - 10.1136/bcr-2014-011454 DP - 2014 Oct 29 TA - BMJ Case Reports PG - bcr2014011454 VI - 2014 4099 - http://casereports.bmj.com/content/2014/bcr-2014-011454.short 4100 - http://casereports.bmj.com/content/2014/bcr-2014-011454.full AB - Aseptic cavernous sinus thrombosis (CST) is rare and may clinically masquerade as a carotid cavernous fistula. Conventional management includes oral anticoagulation, but cases of ocular hypertension affecting vision may require more aggressive intervention. We report a case of a woman with spontaneous bilaterally occluded cavernous sinuses with elevated intraocular pressure (IOP), which resolved immediately following unilateral superior ophthalmic vein (SOV) sacrifice. She was subsequently placed on oral anticoagulants. By 4 months postoperatively her IOP was normalized and her vision had improved. Repeat angiography demonstrated stable venous filling, with some mild improvement of flow through the cavernous sinus. Coil-mediated sacrifice of the SOV might be an effective means to relieve ocular hypertension and preserve vision in the setting of aseptic CST.