Acute Closed-Angle Glaucoma After Arteriovenous Fistulas
Unilateral secondary acute closed-angle glaucoma was associated with a ciliochoroidal detachment in two patients. One patient, aged 17 years, had an orbital arteriovenous fistula. The other patient, aged 73 years, had a dural arteriovenous fistula that originated from branches of the right internal...
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| Veröffentlicht in: | American journal of ophthalmology 1989-02, Vol.107 (2), p.156-159 |
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| description | Unilateral secondary acute closed-angle glaucoma was associated with a ciliochoroidal detachment in two patients. One patient, aged 17 years, had an orbital arteriovenous fistula. The other patient, aged 73 years, had a dural arteriovenous fistula that originated from branches of the right internal maxillary artery. In each patient there was increased intraocular pressure, a moderately shallow central anterior chamber, and a flat peripheral anterior chamber. The ciliochoroidal detachment was postulated to displace the iris-lens diaphragm, resulting in the closed angle. Closure of the orbital fistula in the 17-year-old patient reduced the ciliochoroidal detachment and relieved the glaucoma, but visual acuity was reduced to 20/200. The glaucoma in the 73-year-old patient was relieved with topical instillation of timolol 0.5%, homatropine 5%, and systemic administration of acetazolamide. The fistula closed spontaneously, with relief of other ocular signs of the arteriovenous fistula. |
| doi_str_mv | 10.1016/0002-9394(89)90215-8 |
| format | Article |
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One patient, aged 17 years, had an orbital arteriovenous fistula. The other patient, aged 73 years, had a dural arteriovenous fistula that originated from branches of the right internal maxillary artery. In each patient there was increased intraocular pressure, a moderately shallow central anterior chamber, and a flat peripheral anterior chamber. The ciliochoroidal detachment was postulated to displace the iris-lens diaphragm, resulting in the closed angle. Closure of the orbital fistula in the 17-year-old patient reduced the ciliochoroidal detachment and relieved the glaucoma, but visual acuity was reduced to 20/200. The glaucoma in the 73-year-old patient was relieved with topical instillation of timolol 0.5%, homatropine 5%, and systemic administration of acetazolamide. 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One patient, aged 17 years, had an orbital arteriovenous fistula. The other patient, aged 73 years, had a dural arteriovenous fistula that originated from branches of the right internal maxillary artery. In each patient there was increased intraocular pressure, a moderately shallow central anterior chamber, and a flat peripheral anterior chamber. The ciliochoroidal detachment was postulated to displace the iris-lens diaphragm, resulting in the closed angle. Closure of the orbital fistula in the 17-year-old patient reduced the ciliochoroidal detachment and relieved the glaucoma, but visual acuity was reduced to 20/200. The glaucoma in the 73-year-old patient was relieved with topical instillation of timolol 0.5%, homatropine 5%, and systemic administration of acetazolamide. The fistula closed spontaneously, with relief of other ocular signs of the arteriovenous fistula.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Aged</subject><subject>Anterior Chamber - pathology</subject><subject>Arteriovenous Fistula - complications</subject><subject>Arteriovenous Fistula - surgery</subject><subject>Biological and medical sciences</subject><subject>Choroid</subject><subject>Ciliary Body</subject><subject>Dura Mater - blood supply</subject><subject>Female</subject><subject>Glaucoma - etiology</subject><subject>Glaucoma - pathology</subject><subject>Glaucoma - therapy</subject><subject>Glaucoma and intraocular pressure</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Ophthalmology</subject><subject>Orbit - blood supply</subject><subject>Uveal Diseases - complications</subject><subject>Visual Acuity</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE9LwzAYh4Moc06_gUIPInqo5k_bJBehDJ3CwIueQ5q-kUjXzqQd-O1NXdnRS0L4Pe-bHw9ClwTfE0yKB4wxTSWT2a2QdxJTkqfiCM2J4DIlQpJjND8gp-gshK_4LHjGZ2hGJWGC4DkSpRl6SJZNF6BOy_azgWTV6MF0G52UtgeflD6erttB2w0heXahHxodztGJ1U2Ai-leoI_np_flS7p-W70uy3VqmCj6lOY5xRWpDeFWCsE4sIpZpnld2ZoyWmQ6zxlkjFvgEEsZUWWU5ZRkBa1itEA3-71b330PEHq1ccFA0-gWYh_FhciYxDKC2R40vgvBg1Vb7zba_yiC1ShMjTbUaEMJqf6EKRHHrqb9Q7WB-jA0GYr59ZTrYHRjvW6NCweME4JlPv7-uMcgutg58CoYB62B2nkwvao793-PX5M9hLs</recordid><startdate>19890215</startdate><enddate>19890215</enddate><creator>Fourman, Stuart</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19890215</creationdate><title>Acute Closed-Angle Glaucoma After Arteriovenous Fistulas</title><author>Fourman, Stuart</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-25520b1dc17f98837e3b3f3a7dbfd23264a553e437fe7e138c8b423521462b553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Aged</topic><topic>Anterior Chamber - pathology</topic><topic>Arteriovenous Fistula - complications</topic><topic>Arteriovenous Fistula - surgery</topic><topic>Biological and medical sciences</topic><topic>Choroid</topic><topic>Ciliary Body</topic><topic>Dura Mater - blood supply</topic><topic>Female</topic><topic>Glaucoma - etiology</topic><topic>Glaucoma - pathology</topic><topic>Glaucoma - therapy</topic><topic>Glaucoma and intraocular pressure</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Ophthalmology</topic><topic>Orbit - blood supply</topic><topic>Uveal Diseases - complications</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fourman, Stuart</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fourman, Stuart</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute Closed-Angle Glaucoma After Arteriovenous Fistulas</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>1989-02-15</date><risdate>1989</risdate><volume>107</volume><issue>2</issue><spage>156</spage><epage>159</epage><pages>156-159</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>Unilateral secondary acute closed-angle glaucoma was associated with a ciliochoroidal detachment in two patients. One patient, aged 17 years, had an orbital arteriovenous fistula. The other patient, aged 73 years, had a dural arteriovenous fistula that originated from branches of the right internal maxillary artery. In each patient there was increased intraocular pressure, a moderately shallow central anterior chamber, and a flat peripheral anterior chamber. The ciliochoroidal detachment was postulated to displace the iris-lens diaphragm, resulting in the closed angle. Closure of the orbital fistula in the 17-year-old patient reduced the ciliochoroidal detachment and relieved the glaucoma, but visual acuity was reduced to 20/200. The glaucoma in the 73-year-old patient was relieved with topical instillation of timolol 0.5%, homatropine 5%, and systemic administration of acetazolamide. The fistula closed spontaneously, with relief of other ocular signs of the arteriovenous fistula.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>2913810</pmid><doi>10.1016/0002-9394(89)90215-8</doi><tpages>4</tpages></addata></record> |
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| ispartof | American journal of ophthalmology, 1989-02, Vol.107 (2), p.156-159 |
| issn | 0002-9394 1879-1891 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Acute Disease Adolescent Aged Anterior Chamber - pathology Arteriovenous Fistula - complications Arteriovenous Fistula - surgery Biological and medical sciences Choroid Ciliary Body Dura Mater - blood supply Female Glaucoma - etiology Glaucoma - pathology Glaucoma - therapy Glaucoma and intraocular pressure Humans Medical sciences Ophthalmology Orbit - blood supply Uveal Diseases - complications Visual Acuity |
| title | Acute Closed-Angle Glaucoma After Arteriovenous Fistulas |
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