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Retinal vein occlusion in a patient with jugular vein compression by metastasis of carcinoma of the oral tongue
Author(s) -
Navarro Perez,
Ascaso F.J.,
Sánchez J.I.,
Esteban O.,
Martinez M.,
Del Buey M.Á.,
Núñez E.
Publication year - 2015
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2015.0605
Subject(s) - medicine , retinal vein , visual acuity , jugular vein , fluorescein angiography , fundus (uterus) , surgery , occlusion , central retinal vein occlusion , internal jugular vein , ophthalmology , macular edema
Purpose Retinal Vein Occlusion ( RVO ) is the second retinal vascular disease after the diabetic retinopathy. It has been associated with multiple factors both systemic (arterial hypertension, diabetes mellitus, hemoglobinopathy, …) and local (glaucoma, hyperopia, …). We report the very uncommon case of a central RVO that appeared after the patient suffered an internal jugular vein compression syndrome secondary to metastases of squamous cell carcinoma of the oral tongue ( SCCOT ). Methods Spectral‐domain optical coherence tomography ( SD ‐ OCT ) and fluorescein angiography ( FA ) were used in the diagnosis and follow‐up of the visual disorder and PET ‐ CT and cervical ultrosonography were used in the diagnosis of jugular compression. Results A 48‐year‐old male complained with decreased visual acuity on his right eye. Best‐corrected visual acuity ( BCVA ) was 0.2 in the RE and 0.63 in the LE . Fundus examination revealed image of impending CRVO . FA showed severe bilateral venous stasis especially on the RE . He had been diagnosed with a SCCOT . PET ‐ CT revealed a tongue neoplasia with right anterior jugular adenopathy. A cervical ultrosonography showed a compression on both uptown jugular veins and more constricted in high area on the right one. The tumor was considered unresectable. The patient underwent palliative chemotherapy and the ophthalmological symptoms and signs significantly improved. VA improved to 0.5 in the right eye and 0.8 in the left eye after chemotherapy. Conclusions Ophthalmologists should be aware of internal jugular vein compression as a possible cause of CRVO in patients suffering from metastases of cervicofacial neoplasies.