Management of neurovascular emergencies with ophthalmic manifestations

Jawahar Lal Goyal; Shalini Singh; Sarvesh Chandra Mishra; Shipra Singh; Divya Singh

doi:10.4103/ojo.ojo_215_21

Management of neurovascular emergencies with ophthalmic manifestations

Oman J Ophthalmol. 2022 Jun 29;15(2):133-139. doi: 10.4103/ojo.ojo_215_21. eCollection 2022 May-Aug.

Authors

Jawahar Lal Goyal^{1

2}, Shalini Singh^{1

2}, Sarvesh Chandra Mishra^{1

2}, Shipra Singh^{1

2}, Divya Singh^{1

2}

Affiliations

¹ Department of Ophthalmology, School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India.
² Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Abstract

Patients with neurovascular disorders sometimes approach the ophthalmologists with mild ophthalmic clinical features such as conjunctival congestion, slowly progressive proptosis, lateral rectus palsies and at other times with ophthalmic emergencies like sudden increase in proptosis, ophthalmoplegia, diplopia, and ptosis before the onset of neurological manifestations which may be life-threatening if not detected in time. The aim of this article is to focus on ophthalmic manifestations of neurovascular emergencies and role of ophthalmologists in its management. In this communication, to make the ophthalmologist aware of clinical presentations, the imaging modality of choice, diagnostic features, medical and interventional treatments. We have searched PubMed, Web of Science, Google Scholar and reviewed some of the commonly encountered neurovascular emergencies with ocular manifestations such as carotid-cavernous fistula, cerebral venous sinus thrombosis, cerebral artery aneurysms, arterio-venous malformations.

Keywords: Carotid-cavernous fistula; cavernous sinus thrombosis; cerebral aneurysm; neurovascular emergency; ophthalmic manifestations.

Publication types

Review