6533b82bfe1ef96bd128d829

RESEARCH PRODUCT

Optical Coherence Tomography Characterization of Macular Changes Secondary to Arteriovenous Fistula

Roberto Gallego-pinazoEnrique España-gregoriC. Martínez-rubioIsabel Pascual-camps

subject

medicine.medical_specialtyIntraocular pressurecongenital hereditary and neonatal diseases and abnormalitiesgenetic structuresArteriovenous fistulaCase Report03 medical and health scienceschemistry.chemical_compound0302 clinical medicineOptical coherence tomographyOphthalmologymedicinemaculacardiovascular diseasesCarotid-cavernous fistulaArteriovenous fistulaMultimodal imagingDiplopiaoptical coherence tomographymedicine.diagnostic_testbusiness.industryRetinal detachmentRetinalmedicine.diseaseeye diseasesSurgeryOphthalmologychemistryOCT030221 ophthalmology & optometryNeurology (clinical)sense organsmedicine.symptombusinesscarotid-cavernous fistula030217 neurology & neurosurgery

description

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.

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