title: Cataract extraction in spontaneous low-flow indirect dural bilateral carotid cavernous fistula.
abstract: 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.
authors.affiliation: Paediatric Ophthalmology & Strabismus Department, Aravind Eye Care System, 1, Anna Nagar, Madurai, 625020, Tamil Nadu, India. xethani@rediffmail.com
authors.forename: Jitendra
authors.initials: J
authors.lastname: Jethani
authors.forename: J K
authors.initials: JK
authors.lastname: Ajani
mesh_terms: 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