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February 1963

Ipsilateral Blindness After Common Carotid Ligation for Carotid-Cavernous Fistula

Author Affiliations

From the Department of Ophthalmology and the Department of Neurology and Neurological Surgery, University of Illinois College of Medicine.

Arch Ophthalmol. 1963;69(2):186-190. doi:10.1001/archopht.1963.00960040192010

Common carotid ligation is one of the more conservative operations for carotidcavernous sinus fistula. Visual impairment following this procedure is rare, and to our knowledge, total blindness in the eye on the affected side has not been reported heretofore.

Report of Case  A 31-year-old Negro male, who previously had been in good health, presented himself at the Illinois Eye and Ear Infirmary on Jan. 6, 1962, with a history of proptosis of the left eye following an injury 3 weeks earlier. He had received a rather hard blow with a bottle on the left side of the head, but had not lost consciousness or felt weak. A few days after the injury the left eye became red and painful, and shortly thereafter he had diplopia and became aware of a roaring noise in the left ear.The visual acuity in the right eye was 20/20 without correction; that in the

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