Farouk Mahmoud Mohamed, Mostafa Engy Mohamed, Mounir Amr
Sohag Faculty of Medicine, Ophthalmology Department, Sohag, Egypt.
GMS Ophthalmol Cases. 2019 Jul 16;9:Doc28. doi: 10.3205/oc000117. eCollection 2019.
In this report, we are presenting a case of a 49-year-old female complaining of defective vision in the left eye. The main complaints were: pain, redness, mild proptosis, and high intraocular pressure. She had a history of uneventful phacoemulsification surgery 3 months prior to presenting to us. Investigations revealed a macular edema caused by central retinal vein occlusion and computed tomography angiography showed an early opacified left cavernous sinus with a dilated superior ophthalmic vein along with a fistula between the meningeal branches of the carotid arteries and the cavernous sinus. Improvement of ocular symptoms was achieved after endovascular treatment by transarterial and transvenous embolization.
在本报告中，我们呈现了一例49岁女性患者，其主诉左眼视力缺陷。主要症状为：疼痛、眼红、轻度眼球突出和高眼压。她在前来就诊前3个月有过顺利的白内障超声乳化手术史。检查发现由视网膜中央静脉阻塞引起的黄斑水肿，计算机断层血管造影显示左侧海绵窦早期混浊，眼上静脉扩张，同时颈动脉脑膜支与海绵窦之间存在瘘管。经动脉和静脉栓塞的血管内治疗后，眼部症状得到改善。
