Bilateral Dilated Superior Ophthalmic Veins in a Patient With an Arteriovenous Dialysis Fistula.
Journal
Ophthalmic plastic and reconstructive surgery
ISSN: 1537-2677
Titre abrégé: Ophthalmic Plast Reconstr Surg
Pays: United States
ID NLM: 8508431
Informations de publication
Date de publication:
18 Sep 2023
18 Sep 2023
Historique:
medline:
18
9
2023
pubmed:
18
9
2023
entrez:
18
9
2023
Statut:
aheadofprint
Résumé
A 64-year-old man presented with 4 months of diplopia. He had end-stage renal disease requiring a cephalic transposition brachiocephalic fistula that was no longer in use following successful renal transplantation. On presentation, he had bilateral proptosis, extraocular movement restriction, chemosis, tortuous episcleral vessels, and caruncular injection. Non-contrast CT of the orbits demonstrated dilation of both superior ophthalmic veins, and CT angiography showed asymmetric enlargement of both cavernous sinuses and superior ophthalmic veins. A carotid-cavernous fistula was suspected, but cerebral angiography revealed shunting from the old fistula with intracranial drainage and cerebral venous hypertension. Aberrant retrograde drainage resulted from anatomical compression of the left brachiocephalic vein. The fistula was ligated, and at 1-week follow-up, the patient had marked improvement in extraocular movements and orbital congestion with near complete resolution of diplopia. Postoperative CT angiography obtained 2 months later demonstrated decreased size of both superior ophthalmic veins, consistent with improvement of venous hypertension.
Identifiants
pubmed: 37721308
doi: 10.1097/IOP.0000000000002524
pii: 00002341-990000000-00272
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.
Déclaration de conflit d'intérêts
The authors have no financial or conflicts of interest to disclose.
Références
Caiza-Zambrano F, Palacio CM, Garbugino S, et al. Central venous reflux, a rare cause of neurological manifestations in hemodialysis patients: a case report and literature review. Neurointervention 2022;17:58–64.
Taban M, Taban M, Lee MS, et al. Prevalence of optic nerve edema in patients on peripheral hemodialysis. Ophthalmology 2007;114:1580–1583.
Itkin M, Kraus MJ, Trerotola SO. Extrinsic compression of the left innominate vein in hemodialysis patients. J Vasc Interv Radiol 2004;15:51–56.
Nakamata A, Yogi A, Harakuni T, et al. Symptomatic jugular venous reflux with dilatation of the superior ophthalmic vein mimicking cavernous dural arteriovenous fistula. Radiol Case Rep 2019;14:1167–1170.
Lal SM, Twardowski ZJ, Stone JV, et al. Benign intracranial hypertension: a complication of subclavian vein catheterization and arteriovenous fistula. Am J Kidney Dis 1986;8:262–264.
Molina JC, Martinez-Vea A, Riu S, et al. Pseudotumor cerebri: an unusual complication of brachiocephalic vein thrombosis associated with hemodialysis catheters. Am J Kidney Dis 1998;31:e3.1–e3.3.
Chang S, Masaryk T, Lee M. Optic nerve edema: complication of peripheral hemodialysis shunt. Semin Ophthalmol 2009;19:88–90.
Cuadra SA, Padberg FT, Turbin RE, et al. Cerebral venous hypertension and blindness: a reversible complication. J Vasc Surg 2005;42:792–795.
Rotellar C, Gelfand MC, Knepshield JH. Exophthalmos: rare complication of A-V fistula used for hemodialysis. Nephron 1987;45:78–78.
Gomes CM, Lucon AM, Yamada RT, et al. Rare complication of an arteriovenous fistula for dialysis: glaucoma. Scand J Urol Nephrol 2009;34:219–221.
Hartmann A, Mast H, Stapf C, et al. Peripheral hemodialysis shunt with intracranial venous congestion. Stroke 2001;32:2945–2946.
Gómez-Arbeláez D, García-Gutiérrez A, González-Fajardo JA. Unilateral proptosis (Exophthalmos) caused by axillary-subclavian venous thrombosis in a patient with upper extremity arteriovenous dialysis fistula. Methodist Debakey Cardiovasc J 2021;17:24–27.
Kiernan M, Bhogal M, Wong K, et al. Sight-threatening intraocular pressure due to an upper arm dialysis fistula. Lancet 2015;386:101–102.
Varelas PN, Bertorini TE, Halford H. Bilateral ophthalmoplegia and exophthalmos complicating central hemodialysis catheter placement. Am J Kidney Dis 1999;33:966–969.
Cleper R, Goldenberg-Cohen N, Kornreich L, et al. Neurologic and ophthalmologic complications of vascular access in a hemodialysis patient. Pediatr Nephrol 2007;22:1377–1382.
Mackay DD, Biousse V. Hemodialysis graft-induced intracranial hypertension. Neurol Clin Pract 2015;5:494–497.
Simon MA, Duffis EJ, Curi MA, et al. Papilledema due to a permanent catheter for renal dialysis and an arteriovenous fistula. J Neuroophthalmol 2014;34:29–33.
Mackay DD, Takacs SM. Central venous obstruction–induced intracranial hypertension in hemodialysis patients: an underrecognized cause of elevated intracranial pressure. J Neuroophthalmol 2020;40:218–225.
deFreitas D, Moss J. Innominate vein stenosis causing raised intracranial pressure and blindness. J Vasc Surg Cases Innov Tech 2020;6:282–284.
Herzig DW, Stemer AB, Bell RS, et al. Neurological sequelae from brachiocephalic vein stenosis. J Neurosurg 2013;118:1058–1062.