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Published on: May 9, 2013
Cataract extraction in spontaneous low-flow indirect dural bilateral carotid cavernous fistula
1Paediatric Ophthalmology & Strabismus Department, Aravind Eye Care System, 1, Anna Nagar, Madurai, 625020, Tamil Nadu, India. xethani@rediffmail.com
Background:
Cataract extraction in a carotid cavernous fistula can cause multiple intraoperative complications during surgery.
Methods:
This was a case of bilateral, indirect, carotid, cavernous fistula, type D. The patient developed cataract and visual deterioration in both eyes. We present the difficulties we encountered during extracapsular cataract surgery on one of the eyes.
Results:
Cataract extraction was done successfully. A self-sealing scleral incision was made. An intraocular lens was implanted.
Conclusion:
Cataract extraction can be done in carotid cavernous fistulas; however, the surgeon should be extremely cautious during the surgery.