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Severe vision loss and neovascular glaucoma complicating superior ophthalmic vein approach to carotid-cavernous sinus fistula.

Abstract：

PURPOSE:To report a patient with unilateral vision loss and neovascular glaucoma after attempted superior ophthalmic vein embolization in the treatment of a carotid-cavernous sinus fistula. METHODS:A 69-year-old man with a history of a left dural carotid-cavernous sinus fistula underwent attempted treatment with superior ophthalmic vein embolization. The procedure was unsuccessful, and the left superior ophthalmic vein was ligated. RESULTS:Uncontrolled left proptosis and intraocular pressure necessitated urgent orbital decompression with severe vision loss and neovascular glaucoma. CONCLUSION:Superior ophthalmic vein embolization in the management of carotid-cavernous fistula may be associated with vision-threatening complications.

journal_name

Am J Ophthalmol

journal_title

American journal of ophthalmology

authors

Gupta N,Kikkawa DO,Levi L,Weinreb RN

doi

10.1016/s0002-9394(14)71711-8

subject

Has Abstract

pub_date

1997-12-01 00:00:00

pages

853-5

issue

6

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(14)71711-8

journal_volume

124

pub_type

杂志文章

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