case_images: PMC5442449_01
case_images: Slit lamp photograph of the left eye showing periorbital edema, conjunctival edema and chemosis, dilated cork-screw vessels and corneal mucous plaques (arrow) on the superior half of the cornea.
case_images: OC-07-12-g-001.jpg
case_images: PMC5442449_01_OC-07-12-g-001.jpg
case_images: F1
case_images: In the left eye, there were conjunctival congestion and chemosis associated with dilated episcleral vessels, with few mucous plaques on the superior half of the cornea (Figure 1 (Fig. 1)).
case_images: Digital subtraction angiography, antero-posterior view, left sided. Pooling of contrast material in the cavernous sinus with a direct communication (arrow) between the internal carotid artery and the cavernous sinus is seen, suggestive of Barrow's type A carotid cavernous fistula.
case_images: OC-07-12-g-002.jpg
case_images: PMC5442449_01_OC-07-12-g-002.jpg
case_images: F2
case_images: Digital subtraction angiography (DSA) was subsequently ordered. 4-vessel DSA revealed a high flow CCF Barrow's type A (Figure 2 (Fig. 2)).
case_images: Digital subtraction angiography, lateral view, left sided. A coiling material and balloon (arrow) seen completely obliterating the fistula with no extravasation of the contrast agent. No feeding remnant is present.
case_images: OC-07-12-g-003.jpg
case_images: PMC5442449_01_OC-07-12-g-003.jpg
case_images: F3
case_images: Two weeks later, he underwent a successful angioembolization (Figure 3 (Fig. 3)).