TREATMENT OF RETINOPATHY AND MACULAR EDEMA SECONDARY TO A CAROTID-CAVERNOUS FISTULA

Retin Cases Brief Rep. 2016 Summer;10(3):225-8. doi: 10.1097/ICB.0000000000000234.

Abstract

Purpose: To present a case report on a patient with retinal complications from a carotid-cavernous fistula.

Methods: Observational case report.

Results: A 26-year-old patient sustained head trauma following a motorcycle accident. Examination and retinal imaging demonstrated a venous stasis retinopathy with cystoid macular edema. The edema resolved with aflibercept, but not with bevacizumab.

Conclusion: The patient was diagnosed with venous stasis retinopathy secondary to carotid-cavernous fistula. Pathologic findings completely resolved with appropriate management.

Publication types

  • Case Reports
  • Observational Study

MeSH terms

  • Accidents, Traffic
  • Adult
  • Carotid-Cavernous Sinus Fistula / complications*
  • Head Injuries, Closed / complications
  • Humans
  • Macular Edema / drug therapy
  • Macular Edema / etiology*
  • Male
  • Receptors, Vascular Endothelial Growth Factor / therapeutic use
  • Recombinant Fusion Proteins / therapeutic use
  • Retinal Diseases / drug therapy
  • Retinal Diseases / etiology*

Substances

  • Recombinant Fusion Proteins
  • aflibercept
  • Receptors, Vascular Endothelial Growth Factor