Journal article
Dilated Superior Ophthalmic Vein: Clinical and Radiographic Features of 113 Cases
Ophthalmic plastic and reconstructive surgery, Vol.34(1), pp.68-73
01/01/2018
DOI: 10.1097/IOP.0000000000000872
PMID: 28141624
Abstract
Purpose: Dilated superior ophthalmic vein (SOV) is an uncommon radiographic finding. The authors review the presentation, etiology, radiography, and visual implications of 113 patients with dilated SOV.
Methods: An observational case series and multicenter retrospective chart review were conducted. There were 113 patients with a dilated SOV. Outcome measures included patient demographics, clinical features, radiographic findings, diagnosis, and treatment, and treatment outcomes were assessed.
Results: Cases included 75 women (66%) and 38 men (34%) with a mean age of 4924 years (range, 0.4-90 years). Diagnoses fell under 6 categories: vascular malformation (n = 92, 81%), venous thrombosis (n = 11, 10%), inflammatory (n = 6, 5%), traumatic hemorrhage (n = 2, 2%), lymphoproliferative (n = 1, 1%), and infectious (n = 1, 1%). Imaging modalities utilized included MRI (n = 98, 87%), digital subtraction angiography (n = 77, 68%), CT (n = 29, 26%), and ultrasonography (n = 4, 4%). Disease status at last follow up included no evidence of disease (n = 57, 50%), alive with persistent disease (n = 53, 47%), and expired from disease (n = 3, 3%). Treatment and management was tailored to the underlying disease process with a mean follow up of 18 months (range, 1 day to 180 months). Visual impairment observed at presentation and last follow up across all cases was 26% and 22%, respectively.
Conclusion: Dilated SOV is a rare radiographic finding resulting from a wide spectrum of etiologies with clinical implications ranging from benign to sight- and life-threatening. Dilated SOV is most often found with dural-cavernous fistula or carotid-cavernous fistula, orbital or facial arteriovenous malformation, and venous thrombosis. Recognition of this finding and management of the underlying condition is critical.
Details
- Title: Subtitle
- Dilated Superior Ophthalmic Vein: Clinical and Radiographic Features of 113 Cases
- Creators
- Christopher R. Adam - SUNY Downstate Medical CenterCarol L. Shields - Wills Eye HospitalJustin Gutman - SUNY Downstate Medical CenterH. Joon Kim - Emory UniversityBrent Hayek - Emory UniversityJohn W. Shore - Texas Oculoplastic ConsultantsAlexandra Braunstein - Columbia UniversityFlora Levin - Yale UniversityBryan J. Winn - Columbia UniversityIvan Vrcek - The University of Texas Southwestern Medical CenterRonald Mancini - SUNY Downstate Medical CenterCraig Linden - SUNY Downstate Medical CenterChristina Choe - Carolina OphthalmologyMithra Gonzalez - University of RochesterDavid Altschul - Yeshiva UniversitySantiago Ortega-Gutierrez - St. Luke's-Roosevelt Hospital CenterSrinivasan Paramasivam - St. Luke's-Roosevelt Hospital CenterJohanna T. Fifi - Yeshiva UniversityAlejandro Berenstein - St. Luke's-Roosevelt Hospital CenterVikram Durairaj - Texas Oculoplastic ConsultantsRoman Shinder - SUNY Downstate Medical Center
- Resource Type
- Journal article
- Publication Details
- Ophthalmic plastic and reconstructive surgery, Vol.34(1), pp.68-73
- DOI
- 10.1097/IOP.0000000000000872
- PMID
- 28141624
- NLM abbreviation
- Ophthalmic Plast Reconstr Surg
- ISSN
- 0740-9303
- eISSN
- 1537-2677
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 6
- Grant note
- Research to Prevent Blindness, New York, NY; Research to Prevent Blindness (RPB)
- Language
- English
- Date published
- 01/01/2018
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984303023402771
Metrics
21 Record Views