Background:Cataract extraction in a carotid cavernous fistula can cause multiple intraoperative complications during surgery.Methods:This was a case of bilateral,indirect,carotid,cavernous fistula,type D.The patient developed cataract and visual deterioration in both eyes.We present the difficulties we encountered during extracapsular cataract surgery on one of the eyes.Results:Cataract extraction was done successfully.A self-sealing scleral incision was made.An intraocular lens was implanted.Conclusion:Cataract extraction can be done in carotid cavernous fistulas;however,the surgeon should be extremely cautious during the surgery.
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