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J Neurol Neurosurg Psychiatry 2004;75:941
  • Correspondence

Spontaneous retinal venous pulsations can be present with a swollen optic disc

  1. H D R McKee1,
  2. M A Ahad2
  1. 1Hull and East Yorkshire Eye Hospital, Hull, UK
  2. 2Moorfields Eye Hospital, London, UK
  1. Correspondence to:
 H D R McKee;
 hamishmckeehotmail.com

    I read with interest the article “Spontaneous retinal venous pulsation: aetiology and significance” by Jacks and Miller.1 Their explanation for these pulsations is essentially no different from that put forward by Levine in 1998.2 They then go on to discuss the clinical importance of spontaneous retinal venous pulsations (SVPs). They refer to the finding of Levin that the presence of SVPs is an indication of an intracranial pressure below 190 mm H20.3 However, they conclude without justification that “presence of SVPs allows the examiner to conclude that the patient does not have optic disc swelling...”.

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