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Published on: May 14, 2020
Intraorbital aneurysm of the ophthalmic artery
Pavitra Garala1, Jasvir Virdee1, Madyan Qureshi1
1Department of Ophthalmology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
Abstract:
Intraorbital ophthalmic artery (OA) aneurysms are rare. They can be asymptomatic or present with visual disturbances, exophthalmos and headaches. We present a case of a 57-year-old man who presented with reduced vision, diplopia and exophthalmos. A carotid artery angiogram identified a right OA aneurysm. Due to the low risk of rupture and the patient's comorbidities including cardiac and renal impairment, a conservative approach was followed. A few weeks post presentation, the patient's vision and optic nerve function had improved. This case reiterates the importance of considering conservative treatment for patients with intraorbital OA aneurysms.
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