Abstract：
:Carotid cavernous fistulas (CCFs) can be classified as direct and indirect, depending on their flow rates and their etiology. Both forms can cause the same characteristic ophthalmological symptoms and signs. We analyzed these ocular characteristics and determined the prognostics factors associated with treatment outcome. Forty-seven patients with an angiographically confirmed diagnosis of CCF, a preoperative ophthalmic evaluation and at least one ophthalmic sign or symptom at the initial presentation were retrospectively evaluated. The patients were followed-up ophthalmically until the end of treatment, and the complications and the remaining ophthalmological signs and symptoms were then recorded. The patients' ages ranged from 13 to 89 years, with an average of 55.78 (±20.73) years, and a predominance of 28 female (57.8 %) patients. The patients with a direct CCF had a lower average age (p = 0.02). The most common symptoms were blurred vision in 17 (36.2 %) and proptosis in 37 (78.7 %) patients. Elevated intraocular pressure (IOP) was more prevalent in patients with an indirect CCF (p = 0.02). Thrill was more prevalent in patients with direct CCF (p = 0.01). The presence of an initial decrease of visual acuity at the first ophthalmic evaluation was significantly associated with the persistence of ocular symptoms after fistula treatment (odds ratio 3.33). In conclusion our study shows a slight difference in ophthalmic symptoms among patients with different types of fistula. Elevated IOP was significantly associated with indirect fistulas, whereas thrill was significantly associated with direct fistulas. The presence of an initial decrease of visual acuity was significantly associated with a worse ophthalmic prognosis.
journal_name
Int Ophthalmoljournal_title
International ophthalmologyauthors
Grumann AJ,Boivin-Faure L,Chapot R,Adenis JP,Robert PYdoi
10.1007/s10792-012-9550-4subject
Has Abstractpub_date
2012-04-01 00:00:00pages
153-9issue
2eissn
0165-5701issn
1573-2630journal_volume
32pub_type
杂志文章abstract：PURPOSE:To report a unique case of congenital simple hamartoma of retinal pigment epithelium (CSHRPE) associated with full-thickness macular hole (FTMH). METHODS:A 14-year-old female with a previous diagnosis of simple hamartoma of retinal pigment epithelium in the left eye presented with a 3-week onset of reduced vis...
journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-017-0676-2
更新日期：2018-10-01 00:00:00
abstract：:Blindness in diabetics is largely due to retinopathy and/or cataract. Hyperglycaemia and the duration of diabetes are major risk factors for the development of cataract and retinopathy. This review details some of the reactions of glucose that are relevant to the development of complications, and follows the elucidati...
journal_title：International ophthalmology
pub_type： 杂志文章,评审
doi：10.1007/BF00150976
更新日期：1991-01-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
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更新日期：2001-01-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-007-9090-5
更新日期：2007-12-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-021-01700-9
更新日期：2021-01-18 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
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journal_title：International ophthalmology
pub_type： 杂志文章,评审
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更新日期：2020-12-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-007-9068-3
更新日期：2007-08-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/BF00917990
更新日期：1992-09-01 00:00:00
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journal_title：International ophthalmology
pub_type： 临床试验,杂志文章
doi：10.1023/a:1026490902566
更新日期：1997-01-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
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更新日期：2020-05-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
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更新日期：2020-11-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
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更新日期：2018-10-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-017-0599-y
更新日期：2018-08-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10792-011-9509-x
更新日期：2012-02-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/BF00159862
更新日期：1990-07-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-020-01386-5
更新日期：2020-08-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/BF02028643
更新日期：1989-01-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
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更新日期：1987-08-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
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journal_title：International ophthalmology
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journal_title：International ophthalmology
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更新日期：2020-05-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
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更新日期：2019-04-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章,评审
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更新日期：2012-08-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/BF00130921
更新日期：1995-01-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
doi：10.1007/s10792-005-2035-y
更新日期：2004-10-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
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更新日期：2020-04-01 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
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更新日期：2020-11-16 00:00:00
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journal_title：International ophthalmology
pub_type： 杂志文章
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更新日期：2018-04-01 00:00:00
abstract：:Acute and invasive fungal infections are usually seen in immunocompromised and debilitated patients. We report a young immunocompetent 28-year-old Indian male who presented with unilateral endogenous endophthalmitis in the left eye and was managed with pars plana vitreous surgery. The polymerase chain reaction from th...
journal_title：International ophthalmology
pub_type： 杂志文章
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更新日期：2009-08-01 00:00:00
