[Exophthalmos--case report].

Anna Csiszar; Monica Rusu; A Albert

Home/Archive/PubMed

PubMed · 16245742

[Exophthalmos--case report].

Anna Csiszar·Monica Rusu·A Albert

View original source ↗Export metadata ↓

Abstract

Exophthalmos is one of the most common clinical manifestations of an orbital abnormality. It usually results from a mass, a vascular abnormality, or an inflammatory process. We discuss the difficulty to obtain a correct diagnosis and the applied treatment in a clinical case, and at the same time we remark the importance of the close collaboration between the ophthalmologist and other specialists.

Explore related subjects

Carotid-Cavernous Sinus Fistula Diagnosis, Differential Exophthalmos Female Humans Middle Aged Treatment Outcome Case Reports English Abstract Journal Article

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

Anna Csiszar, Monica Rusu, A Albert. 2005. [Exophthalmos--case report].. https://pubmed.ncbi.nlm.nih.gov/16245742/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2006

Transvenous embolization of a dural carotid-cavernous fistula through the contralateral superior petrosal sinus.

We report a patient with progressive ophthalmological problems related to a dural carotid-cavernous fistula who was successfully treated endovascularly. Cavernous sinus catheterization was achieved through the contralateral superior petrosal sinus, permitting occlusion of the fistula without complications.

Carotid-Cavernous Sinus Fistula↗

PubMed2006

[Choroidal effusion syndrome after embolization of an indirect cavernous sinus fistula via the superior ophthalmic vein].

Embolization of a cavernous sinus fistula (SCF) via the superior ophthalmic vein (SOV) was reported to be an almost uncomplicated procedure, even after ligature of the vein at the end of the procedure. We report about a complication of this therapy. A 58-year-old female had a successful embolization of a right indirect cavernous sinus fistula via the SOV. At the end of the operation the SOV was ligated because of the danger of bleeding. Directly after surgery she experienced general worsening of the right eye with signs of venous congestion and marked effusion syndrome. The patient underwent total heparinization to achieve an opening of venous collaterals. Under local therapy with atropine 1% eye drops a decrease of the intraocular pressure was observed. The effusion syndrome was completely resolved within 1 month. If embolization of a cavernous sinus fistula is performed via the SOV, the ligature of the vein at the end of the procedure leads to thrombosis, which can reduce the venous stream from the eye and orbit. A secondary effusion syndrome with ocular hypertension because of a ciliolenticular block situation is possible and requires appropriate therapy. It is not possible to assess the capacity and time of opening of the venous collateral system before surgery. Therefore a transient outflow disturbance should be considered.

Carotid-Cavernous Sinus Fistula↗

PubMed2006

[Interdisciplinary treatment of carotid cavernous fistulas via the superior ophthalmic vein].

BACKGROUND: The endovascular occlusion of symptomatic carotid cavernous fistulae (CCF) via the transfemoral approach is safe and effective. Due to anatomical variations or after unsuccessful transarterial therapy, a direct surgical approach to the superior ophthalmic vein (SOV) may be necessary. CASE REPORTS: In two patients with acute ophthalmologic symptoms coil occlusion of the CCF was performed after palpebral incision and cannulation of the SOV. RESULTS: In both patients preparation of the SOV was performed successfully and without complications. After coil embolization of the CCF both patients had complete resolution of symptoms within several weeks. During a follow-up of 12 months there were no recurrences, but both patients exhibited moderate blepharoptosis. CONCLUSION: Embolization of CCF via a surgically created approach is an effective procedure in selected cases when standard interventional treatment is not possible.

Carotid-Cavernous Sinus Fistula↗