• World Neurosurg · Oct 2024

    Ocular Manifestations of Carotid Cavernous Fistula: A Case of Macular Edema and Conjunctival Vessel Tortuosity.

    • Tian Xie, Limin Guo, and Kailiang Li.
    • Attending doctor, Department of Neurosurgery, Jilin Province People's Hospital, No. 1183, Gongnong Street, 130000, Changchun, Jilin Province, China.
    • World Neurosurg. 2024 Oct 9.

    AbstractA male in his 70s presented with progressive vision loss in his right eye for 2 months. The conjunctival vessels in both eyes appeared dark red, excessively dilated, and tortuous. Macular Optical coherence tomography (OCT) revealed macular edema in the right eye. A cerebral angiogram demonstrated the presence of a left carotid cavernous fistula. The patient was diagnosed with macular edema and tortuous conjunctival vessels secondary to a carotid cavernous fistula (CCF). Subsequently, the patient underwent endovascular interventional embolization of the fistula, resulting in complete occlusion of the fistula. At the one-month follow-up, the patient reported that the redness in his eyes had disappeared and his vision had improved.Copyright © 2024. Published by Elsevier Inc.

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