Internal Jugular Vein Thrombosis Presenting with Elevated Intraocular Pressure.

Choi, Yeon Jung; Kim, Yun Taek

doi:2015.56.11.1810

J Korean Ophthalmol Soc > Volume 56(11); 2015 > Article

Case Report

Journal of the Korean Ophthalmological Society 2015;56(11):1810-1816.
DOI: https://doi.org/10.3341/jkos.2015.56.11.1810 Published online November 15, 2015.

Internal Jugular Vein Thrombosis Presenting with Elevated Intraocular Pressure.

Yeon Jung Choi, Yun Taek Kim

Department of Ophthalmology, Ewha Womans University School of Medicine, Seoul, Korea. jjongofhim@ewha.ac.kr

내경정맥 혈전증으로 인한 안압 상승 1예

최연정⋅김윤택

이화여자대학교 의학전문대학원 안과학교실

Received: 8 May 2015 • Revised: 8 July 2015 • Accepted: 21 August 2015

Abstract

PURPOSE
To report a case of elevated intraocular pressure (IOP) caused by internal jugular vein thrombosis. CASE SUMMARY: A 58-year-old male diagnosed with diabetic retinopathy visited our clinic for a regular checkup. On ophthalmic examination, IOP was 30 mm Hg in the right eye and 28 mm Hg in the left eye. Slit lamp examination showed chemosis, conjunctival injection and slight corneal edema in both eyes. Additionally, gonioscopic examination showed open angle. We observed face edema that started 1 month prior and he was diagnosed with internal jugular vein thrombosis on the right side, internal jugular vein and innominate vein stenosis on the left side approximately 2 months ago. The patient underwent percutanoeus transluminal angioplasty for dilating stenosed vessel. Four days after the procedure, his IOP was 15 mm Hg in the right eye and 12 mm Hg in the left eye based on Goldman applanation tonometer and was well maintained. CONCLUSIONS: Internal jugular vein thrombosis on both sides can cause an increase in IOP.

Key Words: Episcleral vein pressure;Internal jugular vein thrombosis;Intraocular pressure