This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies.  Read our Cookies Policy.
Close
Eye News
  • Features
    • Close
    • Features
    • Allied Professions
    • Humanitarian
    • Interviews
    • AI & Oculomics
    • Ophthalmology
    • Optometry
    • Podcast videos
    • Supplements
  • Education
    • Close
    • Education
    • Learning Curve
    • Quiz
    • Top Tips
    • Trainees
    • Medico-Legal
    • The Truth Behind The Headlines
    • Case Reports
    • Pete's Bogus Journey
  • Reviews
    • Close
    • Reviews
    • Book Reviews
    • Journal Reviews
    • What's trending?
    • Tech Reviews
    • My Top Five
    • The Culture Section
  • Events
  • News
  • Product Guide
  • Industry News
  • Contact us
    • Close
    • Contact us
    • Write for Eye News
  • Home
  • Reviews
  • Journal Reviews
  • An interesting presentation of ruptured anterior communicating artery aneurysm with acute monocular vision loss

An interesting presentation of ruptured anterior communicating artery aneurysm with acute monocular vision loss
Reviewed by Claire Howard

1 April 2014 | Claire Howard | EYE - Neuro-ophthalmology

The authors report an interesting case of a 60-year-old man presenting with acute monocular vision loss accompanied by periorbital pain as an unusual presentation of subarachnoid haemorrhage (SAH) from ruptured anterior communicating artery aneurysm. The patient did not present with any neurological deficit, which is generally the presenting feature for this condition. In addition, changes in mental status are known to occur which, again, was not found for this reported case. A relative afferent pupillary defect was present in the affected eye. As the anterior communicating artery is located close to the optic nerve, aneurysm should be considered when there is presentation of unilateral decrease in visual acuity with periorbital pain, even in the absence of other neurological signs. Other symptoms to look for include transient headache and / or bitemporal or homonymous hemianopia (due to compression of the optic chiasm or tract). In this case, direct optic nerve compression from perineural haematoma was suggested as a cause for retrobulbar optic neuropathy.

Acute retrobulbar optic neuropathy as the sole manifestation of subarachnoid haemorrhage from a ruptured anterior communicating artery aneurysm.
Lee K, Young Shin S, Hae Park S.
NEURO-OPHTHALMOLOGY
2013;37(4):172-4.
Share This
CONTRIBUTOR
Claire Howard

Salford Royal NHS Foundation Trust, Salford, UK.

View Full Profile
Specialty
  • EYE - Cataract
  • EYE - Cornea
  • EYE - General
  • EYE - Glaucoma
  • EYE - Neuro-ophthalmology
  • EYE - Oculoplastic
  • EYE - Oncology
  • EYE - Orbit
  • EYE - Paediatrics
  • EYE - Pathology
  • EYE - Refractive
  • EYE - Strabismus
  • EYE - Vitreo-Retinal
Archive
  • 2025
  • 2024
  • 2023
  • 2022
  • 2021
  • 2020
  • 2019
  • 2018
  • 2017
  • 2016
  • 2015
  • 2014
  • 2013

Top Of Page

9 Gayfield Square, 
Edinburgh EH1 3NT, UK.

Call: +44 (0)131 557 4184
www.pinpoint-scotland.com

WEBSITE DETAILS
  • Cookie Policy
  • Data Protection Notice
  • Privacy Policy
  • Terms and Conditions
ABOUT US
  • Who we are
  • Register
  • Contact us
  • Contributors
  • Company Awards
DIGITAL ISSUES/GUIDELINES
  • Digital issues - Library
  • Supplements - Library
  • Guidelines
Accreditations
IPSO_FLAG_TEAL 2025.png cpdcertified.png

Pinpoint Scotland Ltd (Registered in Scotland No. SC068684) | © 2025 - Website by Gecko Agency