Open AccessIntraorbital aneurysm of the ophthalmic artery
Author(s) -
Pavitra Garala,
Jasvir Virdee,
Madyan Qureshi,
Timothy Gillow
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-227044
Subject(s) - medicine , exophthalmos , headaches , diplopia , asymptomatic , aneurysm , ophthalmic artery , presentation (obstetrics) , optic nerve , radiology , surgery , optic neuropathy , visual acuity , ophthalmology , blood flow
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.