Objective To analyze the clinical manifestation of ocular symptoms caused by carotid cavernous fistula (CCF) , to improve the ophthalmologist for the understanding of the disease .Methods The clinical data of 22 patients with CCF from Jan-uary 2011 to March 2017 in our hospital was analyzed retrospectively .Include 14 cases of male and 8 females ,from 16 to 66 years old ,an average of 40.09 years old .Results Manifestation of ocular symptoms include :22 (90.9% )patients with exophthalmos ,15 (68.2% ) with conjunctival congestion and chemosis ,5 (22.7% ) with edema of eyelids ,7 (31.8% ) with limit of ocular move-ments ,3 (13.6% ) with lacrimation ,3 (13.6% ) with orbital noise ,6 (27.3 % ) with loss of vision ,3 (13.6% ) with increased in-traocular pressure ,4 (18.2% ) with eye pain ,3 (13.6% ) with diplopia .18 cases with endovascular treatment .All cases were fol-lowed up from 1 to 6 months ,4 cases were treated successfully and cured ,6 cases were symptoms improved ,2 cases treatment fail-ure .Conservative treatment in 4 cases ,all symptoms improved .Conclusion The clinical manifestations of carotid cavernous fistula are varied .Conjunctival congestion and exophthalmos were the most frequent ocular symptoms caused by CCF .%目的 分析颈动脉海绵窦瘘眼部表现的临床特点,提高眼科医生对该病的认识.方法 收集2011-01—2017-03首诊于眼科的22例颈动脉海绵窦瘘患者,男14例,女8例,年龄16~66岁,平均40.09岁.回顾性分析眼部症状及治疗的疗效.结果 眼部临床表现:眼球突出20例(90.9%),结膜充血水肿15例(68.2%),眼睑水肿5例(22.7%),眼球运动受限7例(31.8%),流泪3例(13.6%),眼眶杂音3例(13.6%),视力下降6例(27.3%),眼压升高3例(13.6%),眼痛4例(18.2%),视物重影3例(13.6%).颈动脉海绵窦瘘介入栓塞术治病18例,随访1~6个月,其中治愈4例,好转12例,无效或失败2例.保守治疗4例,随访6个月,4例全部好转.结论 颈动脉海绵窦瘘的临床表现多样,其中眼球突出、结膜充血水肿最常见.
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