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Intraorbital Arteriovenous Fistula From the Superficial Temporal Artery

Zhou, Elaine J., M.D.*; Sweeney, Adam R., M.D.*; Chen, Stephen R., M.D.; Yen, Michael T., M.D.*

Ophthalmic Plastic & Reconstructive Surgery: May/June 2019 - Volume 35 - Issue 3 - p e57–e59
doi: 10.1097/IOP.0000000000001342
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Intraorbital arteriovenous fistula is a rare vascular disease characterized by an acquired arteriovenous communication without direct cavernous sinus involvement. Intraorbital arteriovenous fistula may develop slowly and present similarly to other insidious orbitopathies, such as carotid-cavernous fistula. The authors present a case of a superficial temporal artery to superior ophthalmic vein fistula arising in the absence of trauma or prior surgery. This is the first report of a spontaneous intraorbital arteriovenous fistula arising between these vessels and further describes the rare occurrence of intraorbital arteriovenous fistula.

The authors report a case of spontaneous superficial temporal artery to superior ophthalmic vein fistula with slowly progressive proptosis treated with embolization.

*Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas

Department of Radiology, Baylor College of Medicine, Houston, Texas

Accepted for publication January 15, 2019.

The authors have no financial disclosures or conflict of interest.

Address correspondence and reprint requests to Michael T. Yen, M.D., Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, 1977 Butler Blvd, Houston, TX 77030. E-mail: myen@bcm.edu

© 2019 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.