Delayed Branch Retinal Artery Occlusion and Partial Oculomotor Nerve Palsy Following Coiling of a Giant Intracavernous Carotid Artery Aneurysm
Journal Title: Journal of Ocular Biology - Year 2013, Vol 1, Issue 1
Abstract
Coil embolization is a non-invasive and effective method of treating intracranial aneurysm s not amendable to surgical clipping by inducing thrombus formation. However, ophthalmic complications and cranial nerve injury are rarely encountered following the procedure. We report a case of inferior branch retinal artery occlusion and partial oculomotor nerve palsy of the right eye seven days after coil embolization and balloon occlusion of a giant intracavernous right internal carotid artery aneurysm in an 18 year old healthy Caucasian man. After three months, there was resolution of the oculomotornerve palsy, but superior arcuatescotoma remained unchanged. Baseline ophthalmic examinations and discussion of potential ophthalmic risks with patients prior to the interventional aneurysm coiling procedures are recommended.
Authors and Affiliations
John Nguyen
Keywords
Related Articles
- EP ID EP194804
- DOI 10.13188/2334-2838.1000005
- Views 114
- Downloads 0
Overview of Congenital, Senile and Metabolic Cataract
Opacity of the lens is a major public health problem of unknown causes and impaired vision of a large number of peoples. There are different forms of cataractous lenses including congenital, senile and metabolic associat...
Valsalva Retinopathy Associated with Choking and Heimlich Maneuver
Valsalva is “a particular form of retinopathy, pre-retinal and hemorrhagic in nature, secondary to a sudden increase in intrathoracic pressure”. Increasing intrathoracic pressure against a closed glottis diminishes venou...
Effect of a Soluble Epoxide Hydrolase Inhibitor, UC1728, on LPS-Induced Uveitis in the Rabbit
Cytochrome P450 epoxygenase isozymes convert free arachidonic acid into eicosanoids named epoxyeicosatrienoic acids (EETs) that have roles in regulating inflammation. EETs are rapidly converted to dihydroxyeicosatrienoic...
Ophthalmoplegic “Migraine” as a Presenting Symptom of Dermoid Cyst of the Cavernous Sinus: A Case Report and Review of the Literature
Dermoid cysts are rarely seen at the cavernous sinus and may present with symptoms such as isolated cranial nerve palsies and headache. Ophthalmoplegic migraine has not been described as a presenting symptom. We present...
Retinal Artery Occlusion after Embolization of Intracranial Tumor
Embolization plays an important role as an adjunct to the surgical management of tumors. The use of liquid embolic agents, embolic microparticles or coils to devascularize the tumor bed facilitates safer surgical resecti...