Concurrent acute angle-closure glaucoma, choroidal detachment and exudative retinal detachment in a patient with spontaneous carotid cavernous fistula.

A 61-year-old woman had proptosis, pulsation of the globe, orbital bruit and epibulbar congestion in the left eye. The cavernous sinus appeared enlarged by computed tomography. No trauma was noted. Despite the lack of carotid angiographic findings, the patient was diagnosed as having spontaneous carotid cavernous fistula. No surgery was performed. At the age of 67 years, the patient complained of pain in the left eye. Acute angle-closure glaucoma, choroidal detachment and exudative retinal detachment were concurrently found in the left eye. An ocular pulse on the tonography reading in the left eye was larger than in the right eye. Concurrent acute angle-closure glaucoma, choroidal detachment and exudative retinal detachment with carotid cavernous fistula, as found in our patient, may be rare.