Recurrent neurosensory macular detachment in carotid-cavernous fistula

• Published in: Archivos de la Sociedad Española de Oftalmología (English ed.) Vol. 90; no. 7; pp. 331 - 334
• Main Authors: de Dompablo, E, Díez-Álvarez, L, Ruiz-Casas, D, Sánchez-Gutiérrez, V, Ciancas, E, González-López, J.J
• Format: Journal Article
• Language: English
• Published: Elsevier España 01-07-2015
• Subjects: Carotid-cavernous sinus fistula; Desprendimiento macular; Desprendimiento neurosensorial; Desprendimiento seroso macular; Dural arteriovenous fistula; Fístula arteriovenosa dural; Fístula carótido-cavernosa; Macular detachment; Neurosensory detachment; Ophthalmology; Serous macular detachment; Carotid-cavernous sinus fistula; Macular detachment; Fístula carótido-cavernosa; Desprendimiento neurosensorial; Dural arteriovenous fistula; Desprendimiento macular; Desprendimiento seroso macular; Serous macular detachment; Neurosensory detachment; Fístula arteriovenosa dural
• ISSN: 2173-5794; 2173-5794
• DOI: 10.1016/j.oftale.2015.07.006

Abstract Case report A 46 year-old man was seen in the emergency department complaining of vision loss and exophthalmos in his right eye. He also complained of headache, diplopia of 4 months onset, and neurosensory detachment that resolved spontaneously the month before. The study revealed tortuous conjunctival and episcleral vessels and neurosensory macular detachment in his right eye. A carotid-cavernous fistula was confirmed by computed tomography angiography. The fistula closed spontaneously during the hospitalization. One month later, the neurosensory detachment disappeared again. Discussion Carotid-cavernous fistula should be included in the differential diagnosis of neurosensory macular detachments. These neurosensory detachments can resolve spontaneously 11 the fistula is closed.