Abstract

Carotid-cavernous fistula (CCF) is a rare condition involving an abnormal communication between the carotid artery and the cavernous sinus. We present a unique case of posttraumatic unilateral CCF initially misdiagnosed as a corneal melt with iris prolapse and orbital cellulitis. The patient, a 25-year-old male, experienced swelling, bleeding, and sudden vision loss in the affected eye following a fall. Imaging confirmed a direct CCF, and the patient underwent endovascular coiling, evisceration, and prosthetic replacement. Partial loss of levator palpebrae superioris muscle function was observed postprocedure. This case underscores the diagnostic challenge of CCF and highlights the significance of early and accurate diagnosis for appropriate management.

Keywords

Publication details

DOI
10.4103/ojo.ojo_41_24
Journal
Oman Journal of Ophthalmology, 17(3), 388-392
Publisher
Medknow Publications
Open access
Gold open access

Cite this article

APA 7

Thrishulamurthy, C. J., Ahmed, H. S., Pendharkar, H., & Kusuma, M. J. (2024). Evisceration and ocular prosthetic implantation following endovascular coiling for the management of endophthalmitis in a long-standing post-traumatic unilateral carotid-cavernous fistula: A case report and review of the literature. Oman Journal of Ophthalmology, 17(3), 388-392. https://doi.org/10.4103/ojo.ojo_41_24

MLA 9

Thrishulamurthy, Chinmayee J, et al. "Evisceration and ocular prosthetic implantation following endovascular coiling for the management of endophthalmitis in a long-standing post-traumatic unilateral carotid-cavernous fistula: A case report and review of the literature." Oman Journal of Ophthalmology, vol. 17, no. 3, 2024, pp. 388-392. https://doi.org/10.4103/ojo.ojo_41_24.

Chicago (author–date)

Thrishulamurthy, Chinmayee J, H Shafeeq Ahmed, Hima Pendharkar, and M J Kusuma. 2024. "Evisceration and ocular prosthetic implantation following endovascular coiling for the management of endophthalmitis in a long-standing post-traumatic unilateral carotid-cavernous fistula: A case report and review of the literature." Oman Journal of Ophthalmology 17 (3): 388-392. https://doi.org/10.4103/ojo.ojo_41_24.

Harvard

Thrishulamurthy, C. J., Ahmed, H. S., Pendharkar, H. and Kusuma, M. J. (2024) 'Evisceration and ocular prosthetic implantation following endovascular coiling for the management of endophthalmitis in a long-standing post-traumatic unilateral carotid-cavernous fistula: A case report and review of the literature', Oman Journal of Ophthalmology, 17(3), pp. 388-392. doi:10.4103/ojo.ojo_41_24.

Vancouver

Thrishulamurthy CJ, Ahmed HS, Pendharkar H, Kusuma MJ. Evisceration and ocular prosthetic implantation following endovascular coiling for the management of endophthalmitis in a long-standing post-traumatic unilateral carotid-cavernous fistula: A case report and review of the literature. Oman Journal of Ophthalmology. 2024;17(3):388-392. doi:10.4103/ojo.ojo_41_24

IEEE

C. J. Thrishulamurthy, H. S. Ahmed, H. Pendharkar, and M. J. Kusuma, "Evisceration and ocular prosthetic implantation following endovascular coiling for the management of endophthalmitis in a long-standing post-traumatic unilateral carotid-cavernous fistula: A case report and review of the literature," Oman Journal of Ophthalmology, vol. 17, no. 3, pp. 388-392, 2024, doi: 10.4103/ojo.ojo_41_24.