SEVERE VISION AND NEOVASCULAR GLAUCOMA COMPLICATING SUPERIOR OPHTHALMIC VEIN APPROACH TO CAROTID-CAVERNOUS SINUS FISTULA

PURPOSE: To report a patient with unilateral vision loss and neovascul ar glaucoma after attempted superior ophthalmic vein embolization in t he treatment of a carotid cavernous sinus fistula. METHODS: A 69-year- old man with a history of a left dural carotid-cavernous sinus fistula underwent attempted treatment with superior ophthalmic vein embolizat ion. The procedure was unsuccessful, and the left superior ophthalmic vein was ligated. RESULTS: Uncontrolled left proptosis and intraocular pressure necessitated urgent orbital decompression with severe vision loss and neovascular glaucoma. CONCLUSION: Superior ophthalmic vein e mbolization in the management of carotid-cavernous fistula may be asso ciated with vision-threatening complications.