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DIRECT CAROTICO-CAVERNOUS FISTULA A CASE REPORT

BALA SARASWATHY D

Abstract


Unilateral proptosis with raised intraocular             pressure is a very rare clinical presentation. We hereby report a 34 year old healthy male patient with unilateral proptosis with raised intraocular pressure and dilated episcleral vein in one eye. We suspected carotico-cavernous fistula and did ultrasound. Ultrasound revealed dilated superior ophthalmic vein suggestive of this condition. After referring to an              interventional radiologist , MRI showed dilated superior           ophthalmic vein and MR angiography showed direct                carotid-cavernous fistula. This pathology can be treated               successfully in 90 percent of all cases.

 


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