Abstract
• Background: Retinal artery obstruction is an ophthalmic emergency requiring immediate treatment. Recurrent episodes are the result of thromboembolic seeding and necessitate diagnostic efforts to find a possible source for this seeding. The most common sources of such seeding are the valves of the heart and the carotid arteries. • Case report: We describe a case of a 25-year-old man who had recurrent episodes of retinal artery obstruction due to embolic spread. • Discussion: We suggest the origin of the embolic spread to be a post-traumatic ophthalmic artery aneurysm. The immediate and long-term treatment given to the patient are described, the present case is compared to earlier reports, and the unusual clinical picture and suggested treatment are discussed.
References
Beatty RA (1986) Splitting of the optic nerve by carotid-ophthalmic artery aneurysm. J Neurosurg 65:560–562
Beiran I, Reissman P, Scharf J, Nahum Z, Miller B (1993) Hyperbaric oxygenation combined with nifedipine treatment for recent-onset retinal artery occlusion. Eur J Ophthalmol 3:89–94
Benoit BG, Wortzman G (1973) Traumatic cerebral aneurysms: clinical features and natural history. J Neurol Neurosurg Psychiatry 36:127–138
Carlisle R, Lamphier EH, Rahm H (1964) Hyperbaric oxygen and persistence of vision in retinal ischemia. J Appl Physiol 19:914–918
Cox TA, Corbett JJ, Thompson SH, Kassel NF (1981) Unilateral nasal hemianopia as a sign of intracranial optic nerve compression. Am J Ophthalmol 92:230–232
Dolenc VV (1985) A combined epi-and subdural direct approach to carotid-ophthalmic artery aneurysms. J Neurosurg 62:667–672
Fergusan GG, Drake CG (1981) Carotid ophthalmic aneurysms: visual abnormalities in 32 patients and the results of treatment. Surg Neurol 16:1–8
Front RL, Mehta RS, Streusand SB, O'Boyle THE, Kretzer FL (1983) Bilateral retinal ischemia in Kawasaki disease: post mortem findings and electron microscopic observations. Ophthalmology 90:569–573
Friling R, Yassur Y, Biender B, Kleiner-Baumgartan A (1990) Recurrent episodes of central retinal artery occlusion. (in Hebrew) Harefuah 118:244–250
Hahn YS, McLone DG (1987) Traumatic bilateral ophthalmic artery aneurysm: a case report. Neurosurgery 21:86–89
Henkind P, Chambers JN (1986) Arterial disease of the retina. In: Duane TD (ed) Clinical ophthalmology. Harper & Row, Hagerstown, Md, pp 10–14
Huber A, Yasargil MG (1983) Die Aneurismen der Arteria Ophthalmica. Klin Monatsbl Augenheilkd 182: 537–543
Kistler PJ, Ropper AH, Martin JB (1994) Cerebrovascular diseases. In: Isselbacher KJ, Brawnwald E, Wilson JD (eds) Harrison's principles of internal medicine, 14th edn. vol 2. McGraw-Hill, New York, pp 2233–2241
Koboyashi S, Kyoshima K, Gibo H, Hegde SA, Takemae T, Sugita K (1989) Carotid cave aneurysms of the internal carotid artery. J Neurosurg 70:216–221
Parkinson D, West M (1980) Traumatic intracranial aneurysms. J Neurosurg 52:11–20
Sadun AA, Smythe BA, Schaechter JD (1984) Optic neuritis or ophthalmic artery aneurysm? Case presentation with histopathologic documentation using a new staining method. J Clin Neuroophthalmol 4:265–273
Saltzman HA, Hart L, Sicker HD, Duffy EJ (1965) Retinal vascular response to hyperbaric oxygenation. J Am Med Assoc 191:111–116
Schumacher M, Schmidt D, Wakhloo AK (1993) Intra-arterial fibrinolytic therapy in central retinal artery occlusion. Neuroradiology 35:600–605
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Beiran, I., Dori, D., Pikkel, J. et al. Recurrent retinal artery obstruction as a presenting symptom of ophthalmic artery aneurysm: a case report. Graefe's Arch Clin Exp Ophthalmol 233, 444–447 (1995). https://doi.org/10.1007/BF00180950
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DOI: https://doi.org/10.1007/BF00180950