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Abstract #5751 Published in IGR 2-1
Secondary glaucoma in the course of arterio-cavernous fistula: a case report
Kawa P; Mackiewicz J; Zagorski Z; Szajner MKlinika Oczna 1999; 101:217-220
PURPOSE: To present the case of a 59-year-old woman with the symptoms of redness, proptosis of her left eye and temporary bruit in her head. METHODS: Basic ophthalmological examination, measurement of proptosis, tonometry, visual field examination (Humphrey 30-2 threshold) CT, MRI and carotid angiography were performed. CLINICAL SIGNS: Proptosis of the left eye, dilatation of the episcleral vessels, fundus examination: optic disc normal, enlarged and engorged venous vessels, intraretinal hemorrhages in the posterior pole. Tonometry: right eye, 13 mmHg; left eye, 24 mmHg. Perimetry: general reduction of sensitivity. CT scan: abnormal structure (0.9x0.4 cm) in the medial part of the left orbit, without enhancement after applying contrast. MRI examination: enlargement of extraocular muscles of the left eye. Carotid artery angiography revealed indirect carotid: cavernous fistula. CONCLUSIONS: Special investigations such as CT and MRI showed a different picture. Final diagnosis could be based on the clinical picture and confirmed by angiography. LA: Polish
Dr. P. Kawa, I Kliniki Okulistyki AM w Lublinie <#>
Classification:
9.4.9 Glaucomas associated with elevated episcleral venous pressure (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
