Severe vision loss and neovascular glaucoma complicating superior ophthalmic vein approach to carotid-cavernous sinus fistula.
OBJECTIVE
To report a patient with unilateral vision loss and neovascular glaucoma after attempted superior ophthalmic vein embolization in the treatment of a carotid-cavernous sinus fistula.


METHODS
A 69-year-old man with a history of a left dural carotid-cavernous sinus fistula underwent attempted treatment with superior ophthalmic vein embolization. The procedure was unsuccessful, and the left superior ophthalmic vein was ligated.


RESULTS
Uncontrolled left proptosis and intraocular pressure necessitated urgent orbital decompression with severe vision loss and neovascular glaucoma.


CONCLUSIONS
Superior ophthalmic vein embolization in the management of carotid-cavernous fistula may be associated with vision-threatening complications.
Gupta
N
N
Department of Ophthalmology, University of California, San Diego 92093-0946, USA.
Kikkawa
D O
DO
Levi
L
L
Weinreb
R N
RN
D000368:Aged; D001164:Arteriovenous Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D001766:Blindness / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D002340:Carotid Artery Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D002426:Cavernous Sinus; D002533:Cerebral Angiography; D002924:Ciliary Body / Q000601:surgery; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005123:Eye / Q000098:blood supply*; D015355:Glaucoma, Neovascular / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D017075:Laser Coagulation; D008297:Male; D014680:Veins; D014792:Visual Acuity