Ocular ischaemic syndrome following coil embolisation for direct carotid cavernous fistula

BMJ Case Rep. 2021 May 27;14(5):e242121. doi: 10.1136/bcr-2021-242121.

Abstract

A 36-year-old man presented with proptosis and external ophthalmoplegia of the left globe following road traffic injury. Cerebral angiogram revealed moderate flow direct carotid cavernous fistula on left side for which coil embolisation was done repeatedly. Subsequently, the patient developed decreased vision in left eye and developed features of left-sided ocular ischaemic syndrome. The patient was treated conservatively with spontaneous reversal of ocular ischaemic syndrome and complete regain of visual function.

Keywords: anterior chamber; retina.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Carotid-Cavernous Sinus Fistula* / diagnostic imaging
  • Carotid-Cavernous Sinus Fistula* / etiology
  • Carotid-Cavernous Sinus Fistula* / therapy
  • Embolization, Therapeutic* / adverse effects
  • Eye
  • Eye Diseases*
  • Humans
  • Male
  • Vascular Diseases*