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.
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.
Authors: Charles Van Went; A Ozanne; G Saliou; G Dethorey; I De Monchy; T Krings; D Ducreux; M Labetoulle Journal: Interv Neuroradiol Date: 2011-12-16 Impact factor: 1.610
Authors: S Matsubara; K Kazekawa; H Aikawa; M Onizuka; M Tsutsumi; M Ikou; T Kodama; K Nii; S Nagata; A Tanaka Journal: Interv Neuroradiol Date: 2007-06-27 Impact factor: 1.610
Authors: Briana C Gapsis; Roshni U Ranjit; Sharad Malavade; Andrew Carey; Reed Murtagh; Mitchell D Drucker; Peter R Pavan Journal: Digit J Ophthalmol Date: 2013-05-10