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Ophthalmic Artery Aneurysm: Potential Culprit of Central Retinal Artery Occlusion

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Central retinal artery occlusion (CRAO) is one of the most devastating ophthalmic emergencies,causing acute painless visual loss in the affected eye. We describe the first case of acute non-arteritic CRAO associated with peripheral ophthalmic artery aneurysm and its clinical course after intra-arterial thrombolysis therapy. This case suggests that ophthalmic artery aneurysm can be the cause of CRAO and should be included in the differential diagnosis of CRAO.

Abstract

Central retinal artery occlusion (CRAO) is one of the most devastating ophthalmic emergencies,causing acute painless visual loss in the affected eye. We describe the first case of acute non-arteritic CRAO associated with peripheral ophthalmic artery aneurysm and its clinical course after intra-arterial thrombolysis therapy. This case suggests that ophthalmic artery aneurysm can be the cause of CRAO and should be included in the differential diagnosis of CRAO.

참고문헌 (6)

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  2. Hayreh SS, "Retinal artery occlusion: associated systemic and ophthalmic abnormalities", Ophthalmology, 116, pp.1928~1936 (2009)
  3. Qiao L, "Peripheral ophthalmic artery aneurysm", Neurosurg Rev, 34, pp.29~38 (2011)
  4. Qureshi AI, "Ischemic events associated with unruptured intracranial aneurysms: multicenter clinical study and review of the literature", Neurosurgery, 46, pp.282~289 (2000)
  5. Haritoglou C, "Central retinal artery occlusion in association with an aneurysm of the internal carotid artery", Am J Ophthalmol, 132, pp.270~271 (2001)
  6. Bederson JB, "Recommendations for the management of patients with unruptured intracranial aneurysms: a statement for healthcare professionals from the Stroke Council of the American Heart Association", Circulation, 102, pp.2300~2308 (2000)

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