Secondary glaucoma following carotid cavernous fistula

Journal Article (Journal Article)

Carotid-cavernous fistulas are a major cause of secondary glaucoma due to increased episcleral venous pressure. We present the case of a 72-year-old female patient, treated at the Hospital de Clínicas at the Universidade Federal do Triângulo Mineiro (HC-UFTM), with pain, proptosis, episcleral engorgement, chemosis and pulsation in the right eye, with increased intraocular pressure (IOP) on anti-glaucomatous medication. Arteriography showed dural fistula to the right cavernous sinus, with reflux to orbital veins. Treatment with liquid embolization agent was performed, following full recovery of proptosis and congestion of the episcleral vessels. However, the patient maintained increased IOP because of narrow-angle glaucoma development due to the presence of goniosynechiae in 270°, which was controlled satisfactorily with medication.

Full Text

Duke Authors

Cited Authors

  • Carvalho, RA; Delloiagono, HS; Jammal, AA; Resende, GM; Angotti, HS

Published Date

  • March 1, 2016

Published In

Volume / Issue

  • 75 / 2

Start / End Page

  • 156 - 159

Electronic International Standard Serial Number (EISSN)

  • 1982-8551

International Standard Serial Number (ISSN)

  • 0034-7280

Digital Object Identifier (DOI)

  • 10.5935/0034-7280.20160034

Citation Source

  • Scopus