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Br J Ophthalmol 90:1440 doi:10.1136/bjo.2006.098723
  • Letter

Serous retinal detachment following carotid-cavernous fistula

  1. H-Y Choi1,
  2. N J Newman2,
  3. V Biousse3,
  4. D C Hill4,
  5. A P Costarides4
  1. 1Department of Ophthalmology, School of Medicine, Pusan National University, Pusan, South Korea
  2. 2Department of Ophthalmology, Department of Neurology and Department of Neurological Surgery, Emory University School of Medicine
  3. 3Department of Ophthalmology and Department of Neurology, Emory University School of Medicine
  4. 4Department of Ophthalmology Emory University School of Medicine
  1. Correspondence to: V Biousse Neuro-ophthalmology Unit, Emory Eye Center, 1365-B Clifton Road, NE, Atlanta, GA 30322, USA;vbiouss{at}emory.edu
  • Accepted 1 July 2006

Ocular complications of carotid cavernous fistulas (CCFs) are common, and the treatment of these fistulas is usually guided by the visual prognosis.1 Visual loss is often non-reversible, and is usually related to glaucomatous optic neuropathies.1 Retinal venous stasis and disc oedema are also common and can be complicated by retinal vein occlusions.1 We present a case of choroidal effusion and retinal detachment, which resolved after treatment of the CCF.

Case report

A 66-year-old man presented with a 5-month history of right-sided headache and redness of the right eye, and diplopia for 1 week. Visual function was normal. The episcleral …

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