advertisement
Abstract #6159 Published in IGR 2-2
Glaucoma mimicked by carotid-ophthalmic artery aneurysm: a rare insidious cause of progressive visual loss
Kulkarni AA; Hope-Rose M; Beale DJ; Byrne JVEye 2000; 14: 405-406
A 40-year-old Caucasian woman presented with pain, redness and blurred vision in her left eye. There were cells and flare in the left anterior chamber and the intraocular pressure was 22 mmHg, 4 mmHg higher than in the other eye. There was some optic disc asymmetry. A diagnosis of left anterior uveitis was made. The uveitis resolved and the pressure in the left eye rose to 26 mmHg. On visual field examination, a left superonasal visual field defect was found. However, the patient developed a left RAPD. Therefore, further investigations were carried out and a left carotid-ophthalmic artery aneurysm compressing the left optic nerve was found. The aneurysm was successfully closed neurosurgically. There was no further change in visual acuity or visual field.
Dr. A.A. Kulkarni, Department of Ophthalmology, Birmingham and Midland Eye Centre, City Hospital NHS Trust, Birmingham B18 7QH, UK
Classification:
10 Differential diagnosis e.g. anterior and posterior ischemic optic neuropathy
