Direct approach to thrombosed superior ophthalmic vein of recalcitrant indirect carotid cavernous fistula in thrombocythemia failed with multiple conventional embolization treatment

摘要

I am Dr. Jungyul Park from the Division of Oculoplasty, Department of Ophthalmology, Pusan National University Hospital, Busan, Korea. I am writing to present a case of direct approach to thrombosed superior ophthalmic vein of recalcitrant indirect carotid cavernous fistula which was failed to treat with multiple conventional embolization treatment. To our knowledge this is very challenging procedure to the ophthalmologist, and not well described in literatures, especially in thrombocythemia patient with thrombosed superior ophthalmic vein. The patient's symptoms were very severe to light perception on her affected eye, but well subsided after procedure. So, we now share our challenging case and operation method.