Increased Intraocular Pressure in Patients with Carotid-Cavernous Fistula Seen at a Tertiary Eye Care Center
Objectives: We described the demographic and clinical profiles of patients with carotid-cavernous fistula (CCF), determined the prevalence of increased intraocular pressure (IOP), and described the IOP outcomes after endovascular treatment. Methods: This was a single-center, retrospective review...
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Philippine Academy of Ophthalmology
2022-12-01
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| Series: | Philippine Journal of Ophthalmology |
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| Online Access: | https://paojournal.com/index.php/pjo/article/view/49 |
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| author | Patricia Anne C. Concepcion MD Nilo Vincent dG. FlorCruz II MD |
| author_facet | Patricia Anne C. Concepcion MD Nilo Vincent dG. FlorCruz II MD |
| author_sort | Patricia Anne C. Concepcion MD |
| collection | DOAJ |
| description | Objectives: We described the demographic and clinical profiles of patients with carotid-cavernous fistula (CCF), determined the prevalence of increased intraocular pressure (IOP), and described the IOP outcomes after endovascular treatment.
Methods: This was a single-center, retrospective review of records of patients with clinical signs and radiologic evidence of CCF from January 2012 to December 2017. Outcome measures included the prevalence of increased IOP in those with CCF, mean and range of IOPs, average number of IOP-lowering medications needed, and percentage of eyes with normal, controlled, and uncontrolled IOP before and after endovascular intervention.
Results: Ninety-six (96) eyes of 92 patients with radiologic evidence of CCF on 4-vessel cerebral angiography were included. Fifty-nine (59) percent were between the ages of 20 to 39 years. Majority (65%) were males. Direct CCFs accounted for 70% of cases. Increased IOP was the third most common ocular sign with a prevalence of 78%, ranging from 10 to 56 mmHg (mean 20.3 ± 8.0). The average number of antiglaucoma medications for IOP control was 2. Eleven (11) underwent definitive management for CCF. Post-treatment, 33% of 13 eyes had normal, 27% controlled, and 40% uncontrolled IOPs.
Conclusion: There was a high prevalence of increased IOP in patients with CCF. Those who did not achieve IOP control should be referred for endovascular intervention to prevent serious complications, including secondary glaucoma |
| format | Article |
| id | doaj-art-70bcf3bec54442c482b4fad63a7cd855 |
| institution | DOAJ |
| issn | 0031-7659 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Philippine Academy of Ophthalmology |
| record_format | Article |
| series | Philippine Journal of Ophthalmology |
| spelling | doaj-art-70bcf3bec54442c482b4fad63a7cd8552025-08-20T02:52:56ZengPhilippine Academy of OphthalmologyPhilippine Journal of Ophthalmology0031-76592022-12-01472707549Increased Intraocular Pressure in Patients with Carotid-Cavernous Fistula Seen at a Tertiary Eye Care CenterPatricia Anne C. Concepcion MD0Nilo Vincent dG. FlorCruz II MD1Department of Ophthalmology and Visual Sciences, Philippine General Hospital, Manila; Department of Ophthalmology, Ilocos Training and Regional Medical Center, La UnionDepartment of Ophthalmology and Visual Sciences, Philippine General Hospital, ManilaObjectives: We described the demographic and clinical profiles of patients with carotid-cavernous fistula (CCF), determined the prevalence of increased intraocular pressure (IOP), and described the IOP outcomes after endovascular treatment. Methods: This was a single-center, retrospective review of records of patients with clinical signs and radiologic evidence of CCF from January 2012 to December 2017. Outcome measures included the prevalence of increased IOP in those with CCF, mean and range of IOPs, average number of IOP-lowering medications needed, and percentage of eyes with normal, controlled, and uncontrolled IOP before and after endovascular intervention. Results: Ninety-six (96) eyes of 92 patients with radiologic evidence of CCF on 4-vessel cerebral angiography were included. Fifty-nine (59) percent were between the ages of 20 to 39 years. Majority (65%) were males. Direct CCFs accounted for 70% of cases. Increased IOP was the third most common ocular sign with a prevalence of 78%, ranging from 10 to 56 mmHg (mean 20.3 ± 8.0). The average number of antiglaucoma medications for IOP control was 2. Eleven (11) underwent definitive management for CCF. Post-treatment, 33% of 13 eyes had normal, 27% controlled, and 40% uncontrolled IOPs. Conclusion: There was a high prevalence of increased IOP in patients with CCF. Those who did not achieve IOP control should be referred for endovascular intervention to prevent serious complications, including secondary glaucomahttps://paojournal.com/index.php/pjo/article/view/49secondary ocular hypertensionsecondary glaucomaintraocular pressurecarotid-cavernous fistulaepiscleral venous pressure |
| spellingShingle | Patricia Anne C. Concepcion MD Nilo Vincent dG. FlorCruz II MD Increased Intraocular Pressure in Patients with Carotid-Cavernous Fistula Seen at a Tertiary Eye Care Center Philippine Journal of Ophthalmology secondary ocular hypertension secondary glaucoma intraocular pressure carotid-cavernous fistula episcleral venous pressure |
| title | Increased Intraocular Pressure in Patients with Carotid-Cavernous Fistula Seen at a Tertiary Eye Care Center |
| title_full | Increased Intraocular Pressure in Patients with Carotid-Cavernous Fistula Seen at a Tertiary Eye Care Center |
| title_fullStr | Increased Intraocular Pressure in Patients with Carotid-Cavernous Fistula Seen at a Tertiary Eye Care Center |
| title_full_unstemmed | Increased Intraocular Pressure in Patients with Carotid-Cavernous Fistula Seen at a Tertiary Eye Care Center |
| title_short | Increased Intraocular Pressure in Patients with Carotid-Cavernous Fistula Seen at a Tertiary Eye Care Center |
| title_sort | increased intraocular pressure in patients with carotid cavernous fistula seen at a tertiary eye care center |
| topic | secondary ocular hypertension secondary glaucoma intraocular pressure carotid-cavernous fistula episcleral venous pressure |
| url | https://paojournal.com/index.php/pjo/article/view/49 |
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