Neovascular glaucoma with combined retinal vascular occlusion in carotid cavernous fistula.
BMJ Case Rep
; 16(4)2023 Apr 19.
Article
in En
| MEDLINE
| ID: mdl-37076195
ABSTRACT
Carotid cavernous fistulas (CCFs) can present with varied ophthalmic manifestations. The most important vision-threatening complications of CCF include glaucoma and retinal vascular occlusions. We report a case of a man in his early 30s who developed a post-traumatic direct CCF. The patient denied undergoing embolisation therapy. This resulted in aggravation of his condition with onset of combined retinal venous and artery occlusion leading to neovascular glaucoma and severe vision loss. He was treated with medical management followed by diode laser photocoagulation to control intraocular pressure. Diagnostic cerebral angiography done 3 months later showed complete closure of the fistula; hence, no further intervention was advocated. Combined vascular occlusion is a rare vision-threatening occurrence in cases of CCF. Timely intervention with closure of the fistula can prevent the development of vision-threatening complications.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Retinal Diseases
/
Glaucoma, Neovascular
/
Carotid-Cavernous Sinus Fistula
/
Embolization, Therapeutic
/
Fistula
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Humans
/
Male
Language:
En
Journal:
BMJ Case Rep
Year:
2023
Document type:
Article
Affiliation country:
India