Spontaneous resolution of ophthalmologic symptoms following bilateral traumatic carotid cavernous fistulae

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Spontaneous resolution of ophthalmologic symptoms following bilateral traumatic carotid cavernous fistulae
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Published: May 10, 2013
DOI: https://doi.org/10.5693/djo.02.2013.02.003

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Briana Gapsis, BS, BA
University of Central Florida College of Medicine, Orlando, Florida
Roshni U. Ranjit, BS, BA
Morsani College of Medicine, University of South Florida, Tampa, Florida
Sharad Malavade, DNB (Ophth), MPH
USF Eye Institute, Morsani College of Medicine, University of South Florida, Tampa, Florida
Andrew Carey, MD
USF Eye Institute, Morsani College of Medicine, University of South Florida, Tampa, Florida
Reed Murtagh, MD
University Diagnostic Institute, Tampa, Florida
Mitchell D. Drucker, MD
Morsani College of Medicine, University of South Florida, Tampa, Florida; USF Eye Institute, Morsani College of Medicine, University of South Florida, Tampa, Florida
Peter R. Pavan, MD
Morsani College of Medicine, University of South Florida, Tampa, Florida; USF Eye Institute, Morsani College of Medicine, University of South Florida, Tampa, Florida

Abstract

A 38-year-old woman developed bilateral carotid cavernous fistulae (CCF) following a motor vehicle collision. Her initial ophthalmologic findings included periorbital edema, palsies of the left oculomotor and abducens nerves, and residual dilated pupils. She subsequently developed significant optic disc edema and retinal vascular dilation bilaterally. Patients with similar injuries typically require neurosurgical or vascular intervention. In this case, the patient’s signs resolved spontaneously by 21 months after onset, leaving no residual ocular deficits.

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How to Cite
1.
Gapsis B, Ranjit RU, Malavade S, Carey A, Murtagh R, Drucker MD, Pavan PR. Spontaneous resolution of ophthalmologic symptoms following bilateral traumatic carotid cavernous fistulae. Digit J Ophthalmol. 2013;19(2):33-38. doi:10.5693/djo.02.2013.02.003
Issue
Vol. 19 No. 2 (2013)
Section
Case Reports
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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