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Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 232-234

A rare case of nontraumatic bilateral carotid cavernous fistula Barrow type D – A case report

Department of Neuroophthalmology and Orbit and Oculoplasty, Aravind Eye Hospital, Madurai, Tamil Nadu, India

Correspondence Address:
Dr. Maheshkumar Shanmugam
Department of Neuroophthalmology, Aravind Eye Hospital, 1, Kuruvikaran Salai, Annanagar, Sathamangalam, Madurai - 625 020, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1562_21

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Carotid cavernous fistula (CCF) is an abnormal communication between the cavernous sinus and the normal carotid arterial system. We are presenting a very rare case of spontaneous nontraumatic bilateral Barrow type D CCF. A 41-year-old patient presented to our tertiary eye care center with a history of long-standing bilateral congested eyes. On imaging, the patient was diagnosed with spontaneous bilateral Barrow type D CCF. The patient improved significantly by treatment with carotid decompression exercises. It is recommended to consider the diagnosis of bilateral CCFs as a differential diagnosis in patients with long-standing history of congested eyes nonresponsive to conventional topical treatment.

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