[Secondary glaucoma in the course of arterio-cavernous fistula: a case report].
OBJECTIVE
To present a case of 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.


METHODS
Proptosis of the left eye, dilatation of the episcleral vessels, fundus examination--optic disc normal, enlarged and engorged venous vessels, intraretinal haemorrhages in posterior pole. Tonometry--13 mm Hg--right eye, 24 mm Hg--left eye. Perimetry--general reduction of sensitivity. CT scan--abnormal structure (0.9 x 0.4 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 like CT and MRI showed different picture, final diagnosis could be based upon the clinical picture and confirmed by angiography.
Kawa
P
P
I Kliniki Okulistyki AM w Lublinie.
Mackiewicz
J
J
Zagórski
Z
Z
Szajner
M
M
D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging*; D002426:Cavernous Sinus / Q000000981:diagnostic imaging / Q000473:pathology; D002533:Cerebral Angiography; D005260:Female; D005402:Fistula / Q000150:complications / Q000175:diagnosis*; D005902:Glaucoma, Open-Angle / Q000209:etiology*; D006801:Humans; D008875:Middle Aged