Cataract extraction in spontaneous low-flow indirect dural bilateral carotid cavernous fistula.
BACKGROUND
Cataract extraction in a carotid cavernous fistula can cause multiple intraoperative complications during surgery.


METHODS
This was a case of bilateral, indirect, carotid, cavernous fistula, type D. The patient developed cataract and visual deterioration in both eyes. We present the difficulties we encountered during extracapsular cataract surgery on one of the eyes.


RESULTS
Cataract extraction was done successfully. A self-sealing scleral incision was made. An intraocular lens was implanted.


CONCLUSIONS
Cataract extraction can be done in carotid cavernous fistulas; however, the surgeon should be extremely cautious during the surgery.
Jethani
Jitendra
J
Paediatric Ophthalmology & Strabismus Department, Aravind Eye Care System, 1, Anna Nagar, Madurai, 625020, Tamil Nadu, India. xethani@rediffmail.com
Ajani
J K
JK
D020216:Carotid-Cavernous Sinus Fistula / Q000150:complications* / Q000000981:diagnostic imaging; D002387:Cataract Extraction / Q000379:methods*; D005123:Eye / Q000098:blood supply; D007839:Functional Laterality; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014680:Veins / Q000000981:diagnostic imaging / Q000473:pathology