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Neuroophthalmology. 2017 Sep 14;42(3):182-186. doi: 10.1080/01658107.2017.1371768. eCollection 2018 Jun.

Optical Coherence Tomography Characterization of Macular Changes Secondary to Arteriovenous Fistula.

Neuro-ophthalmology (Aeolus Press)

Isabel Pascual-Camps, Clara Martínez-Rubio, Roberto Gallego-Pinazo, Enrique España-Gregori

Affiliations

  1. Department of Ophthalmology, University and Polytechnic Hospital La Fe, Valencia, Spain.
  2. Department of Surgery, Medical School, Universitat de València, Valencia, Spain.

PMID: 29796054 PMCID: PMC5958968 DOI: 10.1080/01658107.2017.1371768

Abstract

Arteriovenous fistulas (AVFs) are abnormal shunts between the arterial and venous vascular systems. These usually produce ocular pain, increased intraocular pressure (IOP), and diplopia. Less frequently, they may cause retinal changes with visual impairment. Our purpose is to illustrate different retinal manifestations of AVF. We report the multimodal imaging study of three cases with retinal changes due to AVF, showing neurosensory retinal detachment, macular oedema, and macular ischemia. In conclusion, AVF may appear with different ophthalmic alterations. While usually increased IOP and diplopia are our main concerns, retinal study is mandatory, since a myriad of morphologic abnormalities might be present.

Keywords: Arteriovenous fistula; OCT; carotid-cavernous fistula; macula; optical coherence tomography

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