Ophthalmic Surgery, Lasers and Imaging Retina

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Case Reports 

Posterior Vitreous Contraction After Cerebral Sinus Thrombosis

Liang Xu, MD; Xi Wei Xie, MD; Jost B. Jonas, MD

Abstract

ABSTRACT

The authors describe a 34-year-old woman who presented with headaches and marked papilledema after she had been taking oral hormonal therapy for the treatment of dysfunctional uterine bleeding. Neurological examination led to the diagnosis of a cerebral venous sinus thrombosis. After thrombolytic treatment, the headaches vanished and the papilledema in the right eye disappeared. Visual acuity increased to 20/25 in the right eye and 20/32 in the left eye. However, the marked papilledema in the left eye had resulted in a pronounced contraction of the posterior vitreous at the optic nerve head associated with a secondary folding of the macula and subretinal pigmentary irregularities in the foveal region. [Ophthalmic Surg Lasers Imaging 2009;40:600-601.]

Abstract

ABSTRACT

The authors describe a 34-year-old woman who presented with headaches and marked papilledema after she had been taking oral hormonal therapy for the treatment of dysfunctional uterine bleeding. Neurological examination led to the diagnosis of a cerebral venous sinus thrombosis. After thrombolytic treatment, the headaches vanished and the papilledema in the right eye disappeared. Visual acuity increased to 20/25 in the right eye and 20/32 in the left eye. However, the marked papilledema in the left eye had resulted in a pronounced contraction of the posterior vitreous at the optic nerve head associated with a secondary folding of the macula and subretinal pigmentary irregularities in the foveal region. [Ophthalmic Surg Lasers Imaging 2009;40:600-601.]

Authors

From the Beijing Institute of Ophthalmology (LX, XWX, JBJ), Beijing Tongren Hospital, Capital University of Medical Science, Beijing, China; and the Department of Ophthalmology (JBJ), Faculty of Clinical Medicine Mannheim, University of Heidelberg, Mannheim, Germany.

Accepted for publication September 23, 2008.

The authors have no financial or proprietary interest in the materials presented herein.

Address correspondence to Liang Xu, MD, Beijing Institute of Ophthalmology, 17 Hougou Street, Chong Wen Men, 100005 Beijing, China.

10.3928/15428877-20091030-13

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