Spontaneous choroidal detachment and 'red-eyed shunt syndrome': two clinical entities with the same cause?
The files of four cases of spontaneous choroidal detachment were reviewed in order to demonstrate a low pressure arteriovenous (A-V) fistula as the cause. The clinical course and symptoms were compared with those described in the 'red-eyed shunt syndrome'. In one patient an A-V fistula was demonstrated by carotidography, while in another patient CT findings supported a similar aetiology. In two out of four cases the initial clinical diagnosis was a solid subretinal mass. In all cases echography demonstrated a choroidal detachment which spontaneously disappeared. A prolonged course, bilateral involvement with changing side recurrences are the characteristics of this disease.
D000328:Adult; D000368:Aged; D001164:Arteriovenous Fistula / Q000150:complications*; D002340:Carotid Artery Diseases / Q000150:complications*; D002426:Cavernous Sinus; D002829:Choroid; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000098:blood supply; D012163:Retinal Detachment / Q000209:etiology; D014463:Ultrasonography; D014603:Uveal Diseases / Q000209:etiology*; D014792:Visual Acuity