“…A metanalysis by Alam et al addressed the ophthalmic findings in CCFs and included 48 patients between 2001 and 2015 (2). In this article and others, choroidal detachment and CRV congestion have been reported in the context of CCF, but not simultaneously (4,5). To the best of our knowledge, this is the first case of a simultaneous association of circumferential CDs, CRV dilation and tortuosity, macular edema, and dramatic intraocular pressure increase without angle closure, seen in a same patient without overt signs of orbital congestion in the anterior segment.…”