Konstas Angelos A, Rootman Daniel B, Quiros Peter A, Ross Ian B
Ophthalmic Plast Reconstr Surg. 2017 May/Jun;33(3):e63-e64. doi: 10.1097/IOP.0000000000000753.
Arteriovenous fistulae of the orbit are exceedingly rare. They are high-flow vascular malformations involving a fistula from the ophthalmic artery to one of the draining ophthalmic veins. Presenting symptoms can mimic those of carotid cavernous fistulae or of ophthalmic venous varices, and include diplopia, proptosis, chemosis, decreased visual acuity, and retro-orbital pain. Very few case reports are published on the treatment of this aggressive vascular malformation, and they uniformly describe techniques involving a transvenous access for the embolization of the fistula. To the best of authors' knowledge, they report the first case of transarterial embolization of an intraorbital AVF.
眼眶动静脉瘘极为罕见。它们是高流量血管畸形,涉及从眼动脉到引流眼静脉之一的瘘管。临床表现可类似于颈动脉海绵窦瘘或眼静脉静脉曲张,包括复视、眼球突出、结膜水肿、视力下降和眶后疼痛。关于这种侵袭性血管畸形治疗的病例报告极少,且均描述了经静脉途径栓塞瘘管的技术。据作者所知,他们报告了首例经动脉栓塞眶内动静脉瘘的病例。