Ophthalmic segment of internal carotid artery aneurysm mimicking normal tension glaucoma.
Int Ophthalmol
; 36(6): 907-914, 2016 Dec.
Article
em En
| MEDLINE
| ID: mdl-26911718
ABSTRACT
A 41-year-old caucasian male was referred to the Glaucoma clinic at our tertiary referral centre with a diagnosis of normal tension glaucoma after the finding of increased bilateral asymmetrical cup/disc ratios, with normal intraocular pressures. On examination, the authors confirmed the presence of bilateral reduced optic disc rims alongside a left pale residual rim, and a further discovered a positive dyschromatopsia with a bilateral visual field alteration. The left visual field showed a relative scotoma confined to the vertical midline. After initiating investigation for suspected glaucoma, the authors ordered a magnetic resonance imaging that evidenced an internal carotid aneurysm along the ophthalmic segment, stretching across the optic chiasm with a major involvement of the left optic nerve and partial involvement of the right optic nerve. Aneurysm embolisation was performed with complete resolution of signs and symptoms achieved 5 months post-operatively. Despite glaucoma being the most frequent condition causing optic disc atrophy and visual field loss, it is not the only cause. Any atypical visual field defect not in keeping with a glaucomatous field loss should be further investigated. The ophthalmologist should thoroughly assess all signs that could lead to different diagnosis.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artéria Oftálmica
/
Artéria Carótida Interna
/
Glaucoma de Baixa Tensão
/
Aneurisma
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Int Ophthalmol
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Itália