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Orbital supratrochlear fistula secondary to anaesthetic block in cataract surgery
Fístula orbitaria supratroclear secundaria a la realización de un bloqueo para anestesia en una cirugía de catarata
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C. Díez-Monteroa,
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ceciliadiezmontero@gmail.com

Corresponding author.
, G.C. Fernández-Pérezb, A. Galindo-Ferreiroa
a Department of Ophthalmology, Rio Hortega University Hospital, Valladolid, Spain
b Department of Radiologia, Rio Hortega University Hospital, Valladolid, Spain
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Received 12 March 2019. Accepted 02 July 2019
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Table 1. Published cases of traumatic orbital arteriovenous fistula.
Abstract

A case is described of a woman with history of right peribulbar nerve block prior to cataract surgery that, within a few days, presented with a trochlear intraorbital arteriovenous fistula (IAVF). This was resolved without sequelae after three months by performing intermittent homolateral carotid massages. This is the first case of supratrochlear IAVF. There are only 8 cases reported of traumatic IAVF, and only one was with post-peribulbar anaesthesia.

Keywords:
Intraorbital arteriovenous fistula
Peribulbar anaesthesia
Supratroclear fistula
Resumen

Presentamos un caso de una mujer con antecedente de bloqueo peribulbar derecho previo a cirugía de cataratas que a los pocos días presenta una fístula arteriovenosa intraorbitaria (FAVO) supratroclear derecha. Se resuelve sin secuelas a los tres meses mediante la realización de masajes carotídeos homolaterales intermitentes. Es la primera vez que se describe una FAVO de localización supratroclear. Sólo se han descrito 8 casos de FAVO post-traumáticas y sólo 1 fue después de anestesia peribulbar.

Palabras clave:
Fístula arteriovenosa intraorbital
Anestesia peribulbar
Fístula supratroclear

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