A 68-year-old man with right vision loss. A, Type IV DAVF fed by the distal ophthalmic artery. B, External carotid feeders. C, Distal ophthalmic artery catheterization. D, Injection of 0.8 mL of Onyx over 43 minutes resulted in occlusion of the draining vein origin. E, Postoperative 3-month assessment shows complete fistula cure.