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Updated: Jun 5, 2025

A Murine Model of Ischemic Retinal Injury Induced by Transient Bilateral Common Carotid Artery Occlusion
Published on: November 12, 2020
Complex Indirect Carotid-Cavernous Fistula With Contralateral Ophthalmic Manifestations
Amirah Mohammad Razali1, Mohammad Jazli Sobri2, Muhammad Khairul Adha Fuad2
1Ophthalmology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, MYS.
Abstract:
A carotid-cavernous fistula (CCF) involves an abnormal communication between the carotid artery and the cavernous sinus. For indirect CCF, it usually occurs in post-menopausal women. Contralateral symptoms for indirect CCF are rare. We report a 79-year-old lady with underlying hypertension and dyslipidemia, who had a complex indirect CCF from the right internal and right external carotid artery, draining into the left ophthalmic vein and giving rise to left ocular manifestation. Endovascular embolization was attempted but was unsuccessful. The patient subsequently developed a stroke one day post-procedure, with a favorable recovery of function.
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