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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 4  |  Page : 957-958

Large internal carotid - ophthalmic artery aneurysm with anterior optic pathway compression


1 Department of Ophthalmology, All India Institute of Medical Sciences, Guntur, Andhra Pradesh, India
2 Department of Radiology, All India Institute of Medical Sciences, Guntur, Andhra Pradesh, India

Correspondence Address:
Dr. Ganne Pratyusha
Department of Ophthalmology, All India Institute of Medical Sciences, Guntur - 522503, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1035_22

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Internal carotid-ophthalmic artery aneurysms (IC-OA) are rare lesions that become symptomatic only when they are quite advanced or when complicated by subarachnoid hemorrhage (SAH). We report a case of IC-OA aneurysm in a middle-aged lady who presented with relative afferent pupillary defect, optic disc pallor, significant color vision impairment, and rather preserved visual acuity in the right eye. Magnetic resonance imaging revealed a fuso-saccular aneurysm of the ophthalmic segment causing a pressure effect on the optic nerve. This case emphasizes the importance of careful ocular examination supplemented by neuro-imaging in cases of unexplained visual loss. Early detection can prevent a potentially fatal subarachnoid hemorrhage.


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