Glaucoma Management in Carotid Cavernous Fistula

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Glaucoma Management in Carotid Cavernous Fistula

Carotid cavernous fistulas (CCF) are vascular communications between the carotid artery and the cavernous sinus. Ophthalmologists are called to diagnose and manage the condition in cases that present with ocular features. A 73-year-old female was referred to our glaucoma center clinic. Eight years before, she had started receiving medication for glaucoma and had undergone laser iridotomy, but a...

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Surgical management of an unusual carotid-cavernous fistula.

A case of carotid-cavernous fistula is described associated with extradural haematoma, temporal lobe contusion, ophthalmoplegia, optic nerve injury by fracture, rhinorrhoea, orbital encephalocoele, and traumatic carotid thrombosis. The fistula was occluded by clipping of the carotid artery intracranially and also of the ophthalmic artery.

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Ophthalmoplegia in carotid cavernous sinus fistula.

The aetiology of ophthalmoplegia in 15 patients with carotid-cavernous sinus fistula is discussed, and the clinical findings are correlated with angiographic and orbital CT appearances. After closure of the fistula the majority of patients with generalised ophthalmoplegia recovered full ocular movements rapidly, while patients with an isolated abduction weakness required much longer to return t...

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Hypopituitarism caused by carotid cavernous fistula.

Here we report a 79-year-old woman who presented with a 7-day history of headache, nausea, vomiting, and was found to have proptosis and ptosis. Laboratory findings showed hyponatremia, hypocortisolism, secondary hypothyroidism and low follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels. CT angiography (CTA) showed a vascular lesion in sella causing a mass affect on the pitui...

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Ocular manifestations and prognosis of secondary glaucoma in patients with carotid-cavernous fistula.

PURPOSE To study the frequency of ocular manifestations and the prognosis of secondary glaucoma in cases of carotid-cavernous fistula (CCF). METHODS A retrospective multicenter study was conducted to investigate causes, types, ocular symptoms, complications, treatment, and prognosis in subjects with CCF. RESULTS Among the 43 patients diagnosed with CCF between 1984 and 2000, a total of 13 p...

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ژورنال

عنوان ژورنال: Case Reports in Ophthalmology

سال: 2016

ISSN: 1663-2699

DOI: 10.1159/000446151