严重视力丧失和新生血管性青光眼并发于经眼上静脉入路治疗海绵窦瘘。
Severe vision loss and neovascular glaucoma complicating superior ophthalmic vein approach to carotid-cavernous sinus fistula.
作者信息
Gupta N, Kikkawa D O, Levi L, Weinreb R N
机构信息
Department of Ophthalmology, University of California, San Diego 92093-0946, USA.
出版信息
Am J Ophthalmol. 1997 Dec;124(6):853-5. doi: 10.1016/s0002-9394(14)71711-8.
PURPOSE
To report a patient with unilateral vision loss and neovascular glaucoma after attempted superior ophthalmic vein embolization in the treatment of a carotid-cavernous sinus fistula.
METHODS
A 69-year-old man with a history of a left dural carotid-cavernous sinus fistula underwent attempted treatment with superior ophthalmic vein embolization. The procedure was unsuccessful, and the left superior ophthalmic vein was ligated.
RESULTS
Uncontrolled left proptosis and intraocular pressure necessitated urgent orbital decompression with severe vision loss and neovascular glaucoma.
CONCLUSION
Superior ophthalmic vein embolization in the management of carotid-cavernous fistula may be associated with vision-threatening complications.
目的
报告1例在尝试进行眼上静脉栓塞治疗颈内动脉海绵窦瘘后出现单眼视力丧失和新生血管性青光眼的患者。
方法
1例有左侧硬脑膜型颈内动脉海绵窦瘘病史的69岁男性患者，尝试进行眼上静脉栓塞治疗。手术未成功，遂结扎左侧眼上静脉。
结果
左侧眼球突出和眼压失控，导致严重视力丧失和新生血管性青光眼，需紧急行眼眶减压术。
结论
眼上静脉栓塞治疗颈内动脉海绵窦瘘可能会出现威胁视力的并发症。
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