TREATMENT OF RETINOPATHY AND MACULAR EDEMA SECONDARY TO A CAROTID-CAVERNOUS FISTULA.

C Nathaniel Roybal, Murat Kucukevcilioglu, Rachel Huckfeldt, Yasser Elshatory, Matthew J Thurtell, James C Folk

Journal: Retinal cases & brief reports 2017;10(3):225-8

PMID: 26536012

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Abstract

PURPOSE

To present a case report on a patient with retinal complications from a carotid-cavernous fistula.

METHODS

Observational case report.

RESULTS

A 26-year-old patient sustained head trauma following a motorcycle accident. Examination and retinal imaging demonstrated a venous stasis retinopathy with cystoid macular edema. The edema resolved with aflibercept, but not with bevacizumab.

CONCLUSION

The patient was diagnosed with venous stasis retinopathy secondary to carotid-cavernous fistula. Pathologic findings completely resolved with appropriate management.

Address: *Department of Ophthalmology and Visual Sciences, University of Iowa Hospitals and Clinics, Iowa City, IA; and †Department of Ophthalmology, Gülhane Military Medical Academy and Faculty of Medicine, Ankara, Turkey.

DOI: 10.1097/ICB.0000000000000234

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MeSH Terms: Accidents, Traffic, Adult, Carotid-Cavernous Sinus Fistula, Head Injuries, Closed, Humans, Macular Edema, Male, Receptors, Vascular Endothelial Growth Factor, Recombinant Fusion Proteins, Retinal Diseases