Indian Journal of Ophthalmology - Case Reports

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

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


Divya Deepthi Shyamala1, Vivek Lanka2, Deepthi Slesser1, Prudhvinath Reddy2, Ganne Pratyusha1 
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

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.


How to cite this article:
Shyamala DD, Lanka V, Slesser D, Reddy P, Pratyusha G. Large internal carotid - ophthalmic artery aneurysm with anterior optic pathway compression.Indian J Ophthalmol Case Rep 2022;2:957-958


How to cite this URL:
Shyamala DD, Lanka V, Slesser D, Reddy P, Pratyusha G. Large internal carotid - ophthalmic artery aneurysm with anterior optic pathway compression. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2023 Feb 6 ];2:957-958
Available from: https://www.ijoreports.in/article.asp?issn=2772-3070;year=2022;volume=2;issue=4;spage=957;epage=958;aulast=Shyamala;type=0