Karna Satya, Jain Mukesh, Alam Md Shahid, Mukherjee Bipasha, Raman Rajiv
Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, India.
Department of Orbit Oculoplasty Reconstructive and Aesthetic Services, Sankara Nethralaya, Chennai, India.
GMS Ophthalmol Cases. 2017 May 19;7:Doc12. doi: 10.3205/oc000063. eCollection 2017.
To report a rare occurrence combination of central retinal artery occlusion (CRAO) and Terson syndrome in a Barrow's type A carotid cavernous fistula (CCF) patient. Observational case report. A twenty-year-old male patient with a history of road traffic accident presented with periorbital swelling and redness in the left eye. Examination revealed a CRAO with intraretinal and preretinal hemorrhages. On imaging, type A CCF and subarachnoid hemorrhage were detected. He underwent embolization of the fistula for cosmetic blemish. The possible mechanisms and clinical implications are discussed. Patients with a head injury can have serious ocular damage. Posterior segment manifestations of CCFs are varied and at times can occur in various rare combinations, making it challenging. Early recognition of these rare manifestations and a multi-disciplinary approach are needed in patients with head trauma.
报告1例巴罗A型颈动脉海绵窦瘘（CCF）患者出现视网膜中央动脉阻塞（CRAO）和Terson综合征的罕见组合情况。观察性病例报告。一名有道路交通事故史的20岁男性患者，出现左眼眶周肿胀和发红。检查发现CRAO伴视网膜内和视网膜前出血。影像学检查发现A型CCF和蛛网膜下腔出血。他因美容缺陷接受了瘘管栓塞术。讨论了可能的机制和临床意义。头部受伤的患者可能会有严重的眼部损伤。CCF的后段表现多样，有时会以各种罕见组合出现，这使其具有挑战性。对于头部外伤患者，需要早期识别这些罕见表现并采取多学科方法。
