REVIEW article
Front. Ophthalmol.
Sec. Oculoplastics, Orbit and Trauma
Volume 5 - 2025 | doi: 10.3389/fopht.2025.1666024
This article is part of the Research TopicReviews In Oculoplastics, Orbit and TraumaView all 3 articles
Intravascular Embolization of a Direct Orbital Arteriovenous Fistula: Case Report and Review of the Literature
Provisionally accepted
- 1Beaumont Hospital, Beaumont Health, Royal Oak, United States
- 2NYU Langone Health, New York, United States
- 3Kahana Oculoplastic & Orbital Surgery, Livonia, United States
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Orbital arteriovenous fistulas are exceedingly rare and present a unique challenge due to difficulties with access. We report a case of a patient with an acute progressive direct orbital arteriovenous fistula causing orbital compartment syndrome and compressive optic neuropathy. He underwent medial orbital decompression followed immediately by direct cannulation of the vascular anomaly, through which two separate fistulas were embolized under fluoroscopic guidance.
Keywords: Orbital arteriovenous fistula, Intraorbital arteriovenous fistula, Orbitotomy, Direct orbital arteriovenous fistula, Orbital vascular lesions
Received: 15 Jul 2025; Accepted: 21 Oct 2025.
Copyright: © 2025 Cheng, Chung, Wilseck and Kahana. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Olivia T Cheng, otc2@case.edu
Alon Kahana, akahana@mioculoplastics.com
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