PMC6050812_01
Visible engorged and dilated scleral blood vessels on the right eye (black
arrow).
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PMC6050812_01_10.1177_2515841418788303-fig1.jpg
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A 66-year-old patient presented in the eye casualty at North Devon District Hospital (Barnstaple, UK) in January 2016, referred from her general practitioner complaining of bilateral red eyes for about 3 weeks (Figures 1 and 2), diagnosed and treated presumptively as conjunctivitis, which was found to be nonresponsive to chloramphenicol 0.5% drops.
Superiorly visible engorged and dilated scleral blood vessels on the right
eye (black arrows).
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PMC6050812_01_10.1177_2515841418788303-fig2.jpg
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A 66-year-old patient presented in the eye casualty at North Devon District Hospital (Barnstaple, UK) in January 2016, referred from her general practitioner complaining of bilateral red eyes for about 3 weeks (Figures 1 and 2), diagnosed and treated presumptively as conjunctivitis, which was found to be nonresponsive to chloramphenicol 0.5% drops.
Dilated superior ophthalmic vein visible on the right eye scan (orange
arrow).
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PMC6050812_01_10.1177_2515841418788303-fig3.jpg
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A B-scan was performed which showed dilated superior ophthalmic veins bilaterally (Figures 3 and 4) which prompted an urgent magnetic resonance imaging (MRI) head scan to be carried out.
Dilated superior ophthalmic vein visible on the left eye scan (orange
arrow).
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PMC6050812_01_10.1177_2515841418788303-fig4.jpg
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A B-scan was performed which showed dilated superior ophthalmic veins bilaterally (Figures 3 and 4) which prompted an urgent magnetic resonance imaging (MRI) head scan to be carried out.
Computed tomography angiogram (CTA) image showing moderately dilated superior
ophthalmic vein on the right side (yellow star) and a more marked dilated
superior ophthalmic vein on the left side (orange arrow).
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The CTA scan showed signs of bilateral CCF along with dilated superior ophthalmic veins on both sides (Figures 5 and 6).
Computed tomography angiogram (CTA) images showing prominent superior
ophthalmic veins on the right side (yellow stars) and tortuously dilated
superior ophthalmic veins on the left side (orange arrows).
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PMC6050812_01_10.1177_2515841418788303-fig6.jpg
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The CTA scan showed signs of bilateral CCF along with dilated superior ophthalmic veins on both sides (Figures 5 and 6).
Carotid angiogram lateral view showing CCF with a dilated left side superior
ophthalmic vein (arrow).
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A further carotid angiogram confirmed bilateral CCF with a markedly dilated superior ophthalmic vein on the left side (Figure 7).