Cataract surgery in a case of carotid cavernous fistula
A carotid-cavernous fistula (CCF) is an abnormal communication between the cavernous sinus and the carotid arterial system. The ocular manifestations include conjunctival chemosis, proptosis, globe displacement, raised intraocular pressure and optic neuropathy. Although management of CCF in these pa...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=9;spage=953;epage=954;aulast=Nair |
| _version_ | 1819168437656616960 |
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| author | Akshay Gopinathan Nair Smita Vittal Praveen Veena Olma Noronha |
| author_facet | Akshay Gopinathan Nair Smita Vittal Praveen Veena Olma Noronha |
| author_sort | Akshay Gopinathan Nair |
| collection | DOAJ |
| description | A carotid-cavernous fistula (CCF) is an abnormal communication between the cavernous sinus and the carotid arterial system. The ocular manifestations include conjunctival chemosis, proptosis, globe displacement, raised intraocular pressure and optic neuropathy. Although management of CCF in these patients is necessary, the ophthalmologist may also have to treat other ocular morbidities such as cataract. Cataract surgery in patients with CCF may be associated with many possible complications, including suprachoroidal hemorrhage. We describe cataract extraction surgery in 60-year-old female with bilateral spontaneous low-flow CCF. She underwent phacoemulsification via a clear corneal route under topical anesthesia and had an uneventful postoperative phase and recovered successfully. Given the various possible ocular changes in CCF, one must proceed with an intraocular surgery with caution. In this communication, we wish to describe the surgical precautions and the possible pitfalls in cataract surgery in patients with CCF. |
| first_indexed | 2024-12-22T19:03:36Z |
| format | Article |
| id | doaj.art-eba7d81392e543d2bf4812c159cb9f79 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-22T19:03:36Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-eba7d81392e543d2bf4812c159cb9f792022-12-21T18:15:52ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892014-01-0162995395410.4103/0301-4738.143942Cataract surgery in a case of carotid cavernous fistulaAkshay Gopinathan NairSmita Vittal PraveenVeena Olma NoronhaA carotid-cavernous fistula (CCF) is an abnormal communication between the cavernous sinus and the carotid arterial system. The ocular manifestations include conjunctival chemosis, proptosis, globe displacement, raised intraocular pressure and optic neuropathy. Although management of CCF in these patients is necessary, the ophthalmologist may also have to treat other ocular morbidities such as cataract. Cataract surgery in patients with CCF may be associated with many possible complications, including suprachoroidal hemorrhage. We describe cataract extraction surgery in 60-year-old female with bilateral spontaneous low-flow CCF. She underwent phacoemulsification via a clear corneal route under topical anesthesia and had an uneventful postoperative phase and recovered successfully. Given the various possible ocular changes in CCF, one must proceed with an intraocular surgery with caution. In this communication, we wish to describe the surgical precautions and the possible pitfalls in cataract surgery in patients with CCF.http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=9;spage=953;epage=954;aulast=NairGlaucomapressure-to-cornea indexvisual field Combined trabeculectomyglaucoma tube shunt surgerylong-term results ocular perfusion pressureopen-angle glaucomasystemic hypertension Anterior stromal opacitiesfemtosecond anterior lamellar keratoplastyspectral domain optical coherence tomography Anesthesiacataractphacoemulsificationrandomized control trail Cataractintraocular lensoptical low-coherence reflectometrypartial coherence interferometry Corneal blindnesscommunity eye bankingkeratoplastyCorneal depositsin vivo confocal microscopymonoclonal gammopathy of undetermined significancemultiple myelomaImagingoptical coherence tomographyneovascular age-related macular degenerationChoroidal neovascular membranepunctate inner choroidopathyyoung adult maleunilateral PICSystemic lupus erthematosusSLE- retinopathyCataractcarotid-cavernous fistulaproptosissmall incision cataract surgery |
| spellingShingle | Akshay Gopinathan Nair Smita Vittal Praveen Veena Olma Noronha Cataract surgery in a case of carotid cavernous fistula Indian Journal of Ophthalmology Glaucoma pressure-to-cornea index visual field Combined trabeculectomy glaucoma tube shunt surgery long-term results ocular perfusion pressure open-angle glaucoma systemic hypertension Anterior stromal opacities femtosecond anterior lamellar keratoplasty spectral domain optical coherence tomography Anesthesia cataract phacoemulsification randomized control trail Cataract intraocular lens optical low-coherence reflectometry partial coherence interferometry Corneal blindness community eye banking keratoplasty Corneal deposits in vivo confocal microscopy monoclonal gammopathy of undetermined significance multiple myeloma Imaging optical coherence tomography neovascular age-related macular degeneration Choroidal neovascular membrane punctate inner choroidopathy young adult male unilateral PIC Systemic lupus erthematosus SLE- retinopathy Cataract carotid-cavernous fistula proptosis small incision cataract surgery |
| title | Cataract surgery in a case of carotid cavernous fistula |
| title_full | Cataract surgery in a case of carotid cavernous fistula |
| title_fullStr | Cataract surgery in a case of carotid cavernous fistula |
| title_full_unstemmed | Cataract surgery in a case of carotid cavernous fistula |
| title_short | Cataract surgery in a case of carotid cavernous fistula |
| title_sort | cataract surgery in a case of carotid cavernous fistula |
| topic | Glaucoma pressure-to-cornea index visual field Combined trabeculectomy glaucoma tube shunt surgery long-term results ocular perfusion pressure open-angle glaucoma systemic hypertension Anterior stromal opacities femtosecond anterior lamellar keratoplasty spectral domain optical coherence tomography Anesthesia cataract phacoemulsification randomized control trail Cataract intraocular lens optical low-coherence reflectometry partial coherence interferometry Corneal blindness community eye banking keratoplasty Corneal deposits in vivo confocal microscopy monoclonal gammopathy of undetermined significance multiple myeloma Imaging optical coherence tomography neovascular age-related macular degeneration Choroidal neovascular membrane punctate inner choroidopathy young adult male unilateral PIC Systemic lupus erthematosus SLE- retinopathy Cataract carotid-cavernous fistula proptosis small incision cataract surgery |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=9;spage=953;epage=954;aulast=Nair |
| work_keys_str_mv | AT akshaygopinathannair cataractsurgeryinacaseofcarotidcavernousfistula AT smitavittalpraveen cataractsurgeryinacaseofcarotidcavernousfistula AT veenaolmanoronha cataractsurgeryinacaseofcarotidcavernousfistula |