SEROUS CHOROIDAL DETACHMENT ASSOCIATED WITH SUSPECTED CONTRALATERAL CAVERNOUS SINUS THROMBOSIS.

Q3 Medicine Retinal Cases and Brief Reports Pub Date : 2025-11-01 DOI:10.1097/ICB.0000000000001650

Dominic M Choo, Arjun G Merchant, Angeline L Wang

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Abstract

Purpose: To describe a case of choroidal detachment secondary to cavernous sinus thrombosis.

Methods: Case report.

Results: A 73-year-old man with a history of primary open-angle glaucoma and pseudophakia presented with retrobulbar pain, blurred vision, and diplopia of the right eye. Examination revealed severe nonhemorrhagic bullous chemosis, tortuous retinal vessels, and elevated intraocular pressure in the right eye. Although computed tomography venography findings initially raised suspicion of a carotid-cavernous fistula, the diagnostic angiogram showed no such evidence, instead raising concern for cavernous sinus thrombosis. Dilated fundus examination and magnetic resonance imaging were notable for multiple serous choroidal detachments in the right eye, which resolved with systemic management of cavernous sinus thrombosis and topical steroids.

Conclusion: The possibility of choroidal detachment during the clinical course of a cavernous sinus thrombosis should be recognized. Cavernous sinus thrombosis may be related to impaired venous drainage that forces transudate into perivascular spaces and results in choroidal effusion.

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疑似对侧海绵窦血栓形成导致的浆液性脉络膜脱离

目的：描述一例继发于海绵窦血栓形成（CST）的脉络膜脱离（CD）病例：方法：病例报告：一名 73 岁的男性患者有原发性开角型青光眼和假性角膜病史，因右眼球后疼痛、视力模糊和复视而就诊。检查发现右眼有严重的非出血性眼泡化生、视网膜血管迂曲和眼压升高。虽然计算机断层扫描的静脉造影结果最初让人怀疑是颈动脉-海绵窦瘘（CCF），但诊断性血管造影显示没有这种证据，反而让人担心是海绵窦血栓形成（CST）。散瞳眼底检查和核磁共振成像显示，患者右眼有多处浆液性脉络膜脱离，经过系统治疗CST和外用类固醇后，脱离症状消失：结论：在 CST 的临床过程中，应认识到脉络膜脱离的可能性。CST可能与静脉引流受阻有关，静脉引流受阻会迫使渗出物进入血管周围间隙，导致脉络膜渗出。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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