PMID: 8963413Mar 1, 1996Paper

Venous obstruction as the cause of retinal/choroidal dysfunction associated with arteriovenous shunts in the cavernous sinus

Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
M J KupersmithA Berenstein

Abstract

To determine the hemodynamic abnormalities that result in visual acuity loss because of retinal or choroidal dysfunction associated with arteriovenous shunts (AVS) that involve the cavernous sinus. Retrospective study of the records of 250 patients with either a carotid cavernous fistula or dural arteriovenous malformation revealed a total of 10 patients with vision loss secondary to retinopathy (group I) or choroidal effusion (group II). The cerebral angiograms of these 10 patients and 10 additional patients with visual dysfunction due to elevated intraocular pressure (group III) were evaluated to determine whether the three groups could be distinguished by a specific vasculopathic pattern. Particular attention was given to the extent of thrombosis in the ophthalmic venous system and cavernous sinus. There were angiographic signs of severe thrombosis in the ophthalmic vein in nine patients and in the cavernous sinus in seven patients ipsilateral to the retinal or choroidal lesion. In contrast, in group III, severe thrombosis in the ipsilateral ophthalmic vein and in the cavernous sinus occurred in one and two patients, respectively. Closure of the AVS improved the visual acuity in 1 of 4 patients in group I and in 4 of 5 patie...Continue Reading

Citations

Aug 14, 2003·Current Neurology and Neuroscience Reports·Leonard FeinerNicholas J Volpe
Apr 29, 1998·American Journal of Ophthalmology·V BiousseN J Newman
Oct 24, 2006·The British Journal of Ophthalmology·H-Y ChoiA P Costarides
Nov 17, 2007·Neurosurgical Focus·Neil R Miller
Nov 24, 2011·Neurosurgery Clinics of North America·Neil R Miller
Apr 9, 2013·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·Ali Osman SaatciMeltem Soylev Bajin
Oct 31, 2011·The Neuroradiology Journal·F Y TsaiS-J Cheng
May 26, 2010·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Mathew BujakJonathan D Trobe
Jul 9, 2009·International Ophthalmology Clinics·Prem S Subramanian, Zoë R Williams
Nov 5, 2015·Retinal Cases & Brief Reports·C Nathaniel RoybalJames C Folk
Sep 8, 2019·Scientific Reports·Md Shahid AlamRajiv Raman

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