Maxillary artery pseudoaneurysm causing retinal artery occlusion

Autor: Ashton T. Nicholson, Mary Ann Sullivan, Brian M. Corliss
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: American Journal of Ophthalmology Case Reports, Vol 30, Iss , Pp 101830- (2023)
Druh dokumentu: article
ISSN: 2451-9936
DOI: 10.1016/j.ajoc.2023.101830
Popis: Purpose: To report a novel case of central retinal artery occlusion in a 44-year-old male caused by emboli from a non-traumatic maxillary artery pseudoaneurysm. Observations: A 44-year-old male with history of hypertension presented to clinic with painless vision loss in his left eye. He was found to have a central retinal artery occlusion. Ocular massage and intraocular pressure lowering agents were administered and the patient was transferred to the emergency department for cerebrovascular work-up. Remarkably, the patient had rapid symptom improvement from no light perception to 20/70 after ocular massage and IOP agents. Neuroimaging studies discovered a maxillary artery pseudoaneurysm with anastomotic branches to the internal carotid artery via the foramen rotundum and Vidian artery. Endovascular embolization was performed to prevent further thromboembolic event. Conclusion and Importance: We believe this to be the first reported case of retinal artery occlusion caused by a maxillary artery pseudoaneurysm. This case demonstrates that visual deficits can be the presenting symptom of a non-traumatic maxillary artery pseudoaneurysm.
Databáze: Directory of Open Access Journals