title: Bilateral isolated concurrent superior ophthalmic vein thrombosis in systemic lupus erythematosus.
abstract: We describe a case of bilateral consecutive superior ophthalmic vein thrombosis as a presenting feature in a patient previously not known to have systemic lupus erythematosus (SLE). A 68-year-old African-American female presented with decreased vision in right eye, mild right orbital tenderness, and frontotemporal headache of 3 days duration. MRI of the orbits confirmed thrombosis of the right superior ophthalmic vein without extension into the cavernous sinus. Sequential MRI at 1 month showed interval improvement of the right superior ophthalmic vein thrombosis and a new thrombosis in the left superior ophthalmic vein. Renal biopsy revealed granular membranous and mesangial deposits of IgG, IgA, IgM, C3, and C1q and confirmed the diagnosis of SLE.
authors.affiliation: Department of Ophthalmology, College of Medicine - Jacksonville, University of Florida, Jacksonville, FL, USA.
authors.forename: Kumar
authors.initials: K
authors.lastname: Sambhav
authors.affiliation: Department of Ophthalmology, College of Medicine - Jacksonville, University of Florida, Jacksonville, FL, USA.
authors.forename: Omar
authors.initials: O
authors.lastname: Shakir
authors.affiliation: Department of Ophthalmology, College of Medicine - Jacksonville, University of Florida, Jacksonville, FL, USA.
authors.forename: Kakarla V
authors.initials: KV
authors.lastname: Chalam
keywords: MRI in SOVT; superior ophthalmic vein thrombosis; systemic lupus erythematosus