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. 2022 Nov 18;15(11):1881-1884.
doi: 10.18240/ijo.2022.11.22. eCollection 2022.

Choroidal folds associated with carotid cavernous fistula: a case report

Yasutsugu Akasaki  1   2 , Takenori Inomata  1   2   3   4 , Jaemyoung Sung  1   5 , Megumi Ito  1 , Hiroaki Kobayashi  1 , Ryosuke Kuwana  1   6 , Hidenori Oishi  7   8 , Akira Murakami  1   2
Affiliations

Choroidal folds associated with carotid cavernous fistula: a case report

Yasutsugu Akasaki et al. Int J Ophthalmol. .
No abstract available

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Figures

Figure 1
Figure 1. Preoperative ocular findings of the left-sided carotid cavernous fistula
Tortuous corkscrew vessels on the left ocular surface (A). Fundus photograph showing retinal venous dilatation and vessel tortuosity in the left eye (B, yellow arrows). Spectral domain optical coherence tomography showing the choroidal folds in the left eye (C, yellow arrows).
Figure 2
Figure 2. T2 enhanced magnetic resonance images
Axial view showing swelling of the left medial, inferior, and superior rectus muscles (A, yellow arrows). Coronal view showing enlargement of the left superior ophthalmic vein (B, yellow arrow).
Figure 3
Figure 3. Frontal views of transvenous embolization
The left-sided carotid cavernous fistula (CCF) (A, B, red arrows) is supplied by the right external carotid artery (A, yellow arrow) and the right internal carotid artery (B, yellow arrow). After coil embolization of the left CCF (C, red arrow), blood flow from the right external carotid artery (D, yellow arrow) and the right internal carotid artery (E, yellow arrow) is undetectable (D, E, red arrows).
Figure 4
Figure 4. Postoperative ocular findings of the left-sided carotid cavernous fistula
One month after embolization of the carotid cavernous fistula, tortuous corkscrew blood vessels on the left ocular surface are significantly reduced (A). Six months after embolization, retinal venous dilatation and vessel tortuosity are improved (B, yellow arrows). Six months after embolization, the choroidal folds are also improved (C, yellow arrows).
See this image and copyright information in PMC

References

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