Subfoveal choroidal thickness changes in carotid cavernous fistula following spontaneous resolution
Author
Rey, Amanda
Castillo, Lorena
Dyrda, Agnieszka
Maseras, Xavier
Jürgens Mestre, Ignasi
Publication date
2016ISSN
1471-2415
Abstract
Background: We report the enhanced depth imaging optical coherence tomography (EDI-OCT) characteristics and variations in a patient with subretinal fluid secondary to a carotid cavernous fistula.Case presentation: A 59-year-old man presented with blurred vision in his right eye. Venous congestion of the epiescleral and retinal vessels were observed. EDI-OCT disclosed macular subretinal fluid with an increase of choroidal thickness up to 341 μm. Brain and orbital computerized tomography showed an enlarged right superior ophthalmic vein. Orbital magnetic resonance imaging and angiography disclosed a decrease in blood flow, an indirect sign of carotid cavernous fistula. After a 3 months follow-up, spontaneous closure of the fistula occurred. Both the dilation of the conjunctiva and retinal veins improved. EDI-OCT showed resolution of the subfoveal fluid and a reduction of the subfoveal choroidal thickness to 271 μm after a 3 months follow-up and 168 μm after a 8 months follow-up. Conclusion: Serous retinal detachment has been described as a rare complication of carotid cavernous fistula. In our patient, EDI-OCT examinations revealed a thicker choroidal thickness when subretinal fluid was present as compared to that observed in the contralateral eye or after subretinal fluid resolution.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
617 - Surgery. Orthopaedics. Ophthalmology
Keywords
Retina -- Malalties
Fístules
Tomografia
Visió
Circulació -- Congestió
Oftalmologia
Ressonància magnètica
Retina -- Enfermedades
Fístulas
Tomografía
Vista
Circulación -- Congestión
Oftalmología
Resonancia magnética
Retina -- Diseases
Fistula
Tomography
Vision
Blood circulation -- Congestion
Ophthalmology
MRI
Pages
3
Publisher
Springer Nature
Collection
16;
Is part of
BMC Ophthalmology
Citation
Rey, Amanda; Castillo, Lorena; Dyrda, Agnieszka [et al.]. Subfoveal choroidal thickness changes in carotid cavernous fistula following spontaneous resolution. BMC Ophthalmology, 2016. Disponible en: <https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-016-0240-2>. Fecha de acceso: 24 mar. 2021. DOI: 10.1186/s12886-016-0240-2
This item appears in the following Collection(s)
- Ciències de la Salut [712]
Rights
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Except where otherwise noted, this item's license is described as http://creativecommons.org/licenses/by/4.0/