Dr.Sakshi Singh

Dr.Sakshi Singh

Abstract

A young female presented with proptosis of LE for 5 months; with redness, DOV in LE, intermittent diplopia & a history of head trauma.
At the first medical encounter, her VA was recorded as 6/6 in RE; 6/36p and raised IOP in LE with limitation of ocular movements in elevation, levo-elevation and abduction. She was prescribed systemic antibiotics, topical and oral antiglaucoma and topical steroids.
Later, her VA improved to 6/6 in BE and normal IOP with angles open in BE. Blood was seen in Schlemm’s canal in LE. Exophthalmometry revealed 14 mm (RE) and 23 mm (LE). The axial proptosis was compressible with an audible bruit. Extraocular movements got spontaneously restored. Corkscrew conjunctival vessels and relatively dilated and tortuous retinal vessels were present.
CECT and CTA orbit showed grossly dilated superior ophthalmic vein and ipsilateral cavernous sinus consistent with CCF.
After neuro-ophthalmology consult, the fistula was decided to be observed for spontaneous resolution.