方法：回顾分析14例就诊于我院的自发性颈动脉海绵窦瘘患者的眼部症状及体征、影像学检查、治疗方法等。

结果：所选14例病例中最常见的眼部表现为眼球突出(100%)、结膜及浅层巩膜充血扩张(93%)。行CT或MRI检查的12例病例中，眼上静脉增粗者9例，海绵窦增宽或高信号者6例。4例行栓塞治疗者眼部症状和体征得到明显改善。

结论：自发性颈动脉海绵窦瘘的眼部临床谱广泛多样，特征性眼部表现结合影像学检查可有效提高诊断。栓塞治疗对改善眼部表现效果明显。

METHODS: Clinical data from 14 patients with spontaneous carotid-cavernous sinus fistula including clinical symptoms and signs, imaging, treatment were analyzed retrospectively.

RESULTS: The most common ocular symptoms in all 14 patients were exophthalmos(100%)and eye redness(93%). The CT or MRI scan performed in 12 cases revealed enlargement of the superior ophthalmic veins in 9 cases and distension of the cavernous sinus in 6 cases. The ocular manifestations improved apparently in all 4 cases undergoing embolization therapy.

CONCLUSION: Due to the wide and various clinical spectrum of spontaneous carotid-cavernous fistula, having a good grasp of diagnostic ocular features and imaging findings is significant to improve the diagnostic ability. Embolization therapy is effective in improving the ocular symptoms.