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Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 776-778

Polycythemia rubra vera presenting as a case of papilledema

Department of Ophthalmology, Pondicherry Institute of Medical Sciences, Pondicherry, India

Correspondence Address:
Dr. Juhy Cherian
Room No. 544, OPD Block, Pondicherry Institute of Medical Sciences Hospital, Pondicherry - 605 014
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_3571_20

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A 42-year-old male presented with complaints of pain in the left hypochondriac region and diffuse headache and gradual painless loss of vision in both eyes. Ocular examination revealed BCVA was 20/40 in the right eye and 20/60 in the left eye and Grade 5 Papilledema noticed in both eyes. Blood investigation revealed polycythemia and positive JAK2 mutation. Primary polycythemia was diagnosed. Immediate treatment with low molecular heparin was initiated, and regular phlebotomies were performed until the hematocrit dropped to 45%. This case reveals, papilledema as an important sign of polycythemia and as a guide to the diagnosis of cerebral venous sinus thrombosis (CVT).

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