title: Reversed ocular ischaemic syndrome secondary to carotid cavernous sinus embolisation.
abstract: Ocular ischaemic syndrome is a progressive and serious vision-threatening condition that is usually associated with carotid artery disease, and poor effective therapeutic options are available. In the present case, a 65-year-old woman was submitted to embolisation of spontaneous carotid-cavernous fistula with complete resolution of initial ophthalmoplaegia and ocular hypertension. Later, ocular ischaemia was detected. Cerebral angiography showed delayed choroidal flush and the patient was admitted for hypervolaemic hypertension therapy and medicated with nimodipine. The ischaemia was reversed and visual function improved.
authors.affiliation: Hospital de Egas Moniz, Lisboa, Portugal.
authors.forename: Filipe
authors.initials: F
authors.lastname: Isidro
authors.affiliation: Hospital de Egas Moniz, Lisboa, Portugal.
authors.forename: Carla
authors.initials: C
authors.lastname: Reizinho
authors.affiliation: Hospital de Egas Moniz, Lisboa, Portugal.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Branco
authors.affiliation: Department of Ophthalmology, Hospital de Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal.
authors.forename: João Marques
authors.initials: JM
authors.lastname: Costa
mesh_terms: D000368:Aged; D002339:Carotid Arteries / Q000473:pathology*; D020216:Carotid-Cavernous Sinus Fistula / Q000628:therapy*; D002426:Cavernous Sinus / Q000473:pathology*; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005123:Eye / Q000098:blood supply / Q000473:pathology*; D005128:Eye Diseases / Q000473:pathology; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology; D009553:Nimodipine / Q000627:therapeutic use; D009798:Ocular Hypertension / Q000188:drug therapy / Q000209:etiology*; D009886:Ophthalmoplegia / Q000209:etiology / Q000628:therapy; D013577:Syndrome; D014652:Vascular Diseases / Q000209:etiology*
chemical_list: D009553:Nimodipine