PT  - JOURNAL ARTICLE
AU  - Travis R Ladner
AU  - Brandon J Davis
AU  - Lucy He
AU  - Louise A Mawn
AU  - J Mocco
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.