{"title":"Ocular Manifestations of Carotid Cavernous Fistula: A Case of Macular Edema and Conjunctival Vessel Tortuosity.","authors":"Tian Xie, Limin Guo, Kailiang Li","doi":"10.1016/j.wneu.2025.123947","DOIUrl":null,"url":null,"abstract":"<p><p>A 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.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"123947"},"PeriodicalIF":1.9000,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World neurosurgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.wneu.2025.123947","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
A 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.
期刊介绍:
World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review.
The journal''s mission is to:
-To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care.
-To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide.
-To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients.
Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS