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Choroidal thickening in a case of carotid cavernous fistula
Authors:Julio González Martín-Moro  Marco Sales-Sanz  Noelia Oblanca-Llamazares  Angel Bustos-García  Jose Carlos Méndez-Cendón  Eduardo Fandiño
Institution:1. Ophthalmology Department, University Hospital of Henares, Madrid, Spain;2. Department of Medicine, University Francisco de Vitoria, Madrid, Spain;3. Ophthalmology Department, University Hospital Ramón y Cajal, Madrid, Spain;4. Ophthalmology Department, Complejo Hospitalario de Salamanca, Salamanca, Spain;5. Radiodiagnostic and Interventional Radiology Department, University Hospital Ramón y Cajal, Madrid, Spain
Abstract:A 47-year-old woman was diagnosed with dural carotid cavernous fistula (CCF) in her right eye (RE). Scans of the choroid using Spectralis optic coherence tomography (OCT) demonstrated significant asymmetry in subfoveal choroidal thickness (RE 451 μm, left eye (LE) 367 μm). This asymmetry disappeared after the fistula was embolizated through the ophthalmic artery (RE 341 μm; LE 340 μm). This case suggests that OCT should be considered as an ancillary test in the diagnosis of CCF.
Keywords:Carotid cavernous fistula  cavernous sinus  choroid  choroidal thickness
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