@elss -
I’m sorry you have so many health challenges you’re dealing with & now have vES added to the mix. I’ve had the vitreous detachment in both eyes w/ one occurring about a month after the other. It was pretty scary not knowing if my retinas might tear but thankfully they didn’t. My vitreous humor didn’t fully detach from either retina so here’s hoping it’s happy where it is & there’s no future movement.
I’m sorry if we haven’t suggested for you to sleep w/ head & shoulder elevation. That’s something that helps a lot w/ vES when the IJV is compressed. You may need to experiment w/ how much elevation is most helpful for you in reducing symptoms. Icing your neck can help - 15 min. several times a day using a thin cloth between icepack & skin to prevent ice burns. If ice makes pain worse, try heat. Gel packs are available that can be frozen or heated for that purpose. OTC lidocaine patches have also been helpful for a number of our members. They are 5% lidocaine but you can get stronger ones via Rx.
Thank you for uploading your imaging. Can you add pictures of your left side? I annotated several of the pictures you posted.
There are several things I see which could be causing your IJV compression: 1) Your right styloid is partially wrapped your IJV. 2) There’s a small vein or artery lying across your IJV. 3) The transverse process (TP) of your C1 is bifurcated on the right i.e. two “heads” on the TP which are both contributing to compression. That may be a form of ponticulus posticus or it may just be a C1 anomaly. You’ll most likely need C1 to be shaved, however the way the styloid is positioned, just having a styloidectomy might be all that’s needed for your IJV to open up. Since I’m not a doctor, I can’t give you a true medical opinion.
Also, though I didn’t mark it, your cervical spine is very straight thus has lost it’s natural lordotic curve. When the cervical spine is straight, the styloids & hyoid bone move closer to nerves & vascular tissues in the neck. Here’s a link to a post that has some good information about how that can be fixed though it requires much patience & time: List of my favourite resources on YouTube to learn anatomy
