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.
Nucci, C., Aiello, F., Giuliano, M., Colosimo, C., & Mancino, R. (2016). Ophthalmic segment of internal carotid artery aneurysm mimicking normal tension glaucoma. INTERNATIONAL OPHTHALMOLOGY, 36(6), 907-914 [10.1007/s10792-016-0206-7].
Tipologia: | Articolo su rivista | |
Citazione: | Nucci, C., Aiello, F., Giuliano, M., Colosimo, C., & Mancino, R. (2016). Ophthalmic segment of internal carotid artery aneurysm mimicking normal tension glaucoma. INTERNATIONAL OPHTHALMOLOGY, 36(6), 907-914 [10.1007/s10792-016-0206-7]. | |
IF: | Con Impact Factor ISI | |
Lingua: | English | |
Settore Scientifico Disciplinare: | Settore MED/30 - Malattie Apparato Visivo | |
Revisione (peer review): | Sì, ma tipo non specificato | |
Tipo: | Articolo | |
Rilevanza: | Rilevanza internazionale | |
Digital Object Identifier (DOI): | http://dx.doi.org/10.1007/s10792-016-0206-7 | |
Stato di pubblicazione: | Pubblicato | |
Data di pubblicazione: | 2016 | |
Titolo: | Ophthalmic segment of internal carotid artery aneurysm mimicking normal tension glaucoma. | |
Autori: | ||
Autori: | Nucci, C; Aiello, F; Giuliano, M; Colosimo, C; Mancino, R | |
Appare nelle tipologie: | 01 - Articolo su rivista |
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