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Ocular ischaemic syndrome following coil embolisation for direct carotid cavernous fistula
  1. Nithin Teja Gunna1,
  2. Anusha Paritala1,
  3. Brijesh Takkar1,2 and
  4. Jenil Sheth3
  1. 1Smt. Kanuri Santhamma Center for Vitreoretinal Diseases, LV Prasad Eye Institute, Hyderabad, Telangana, India
  2. 2Indian Health Outcomes, Public Health and Economics Research (IHOPE) Centre, L V Prasad Eye Institute, Hyderabad, India
  3. 3Child Sight Institute, Jasti V Ramanamma Children's Eye Care Centre, LV Prasad Eye Institute, Hyderabad, Telangana, India
  1. Correspondence to Dr Brijesh Takkar; britak.aiims{at}


A 36-year-old man presented with proptosis and external ophthalmoplegia of the left globe following road traffic injury. Cerebral angiogram revealed moderate flow direct carotid cavernous fistula on left side for which coil embolisation was done repeatedly. Subsequently, the patient developed decreased vision in left eye and developed features of left-sided ocular ischaemic syndrome. The patient was treated conservatively with spontaneous reversal of ocular ischaemic syndrome and complete regain of visual function.

  • retina
  • anterior chamber

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  • Contributors NTG and BT wrote the paper. AP edited the images. JS conceptualised the paper. NT acquired the images. BT and JS managed the patient. BT is the overall guarantor of the paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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