caa a22 4500 445328894 CHVBK 20180317142730.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s10143-010-0290-5 doi (NATIONALLICENCE)springer-10.1007/s10143-010-0290-5 Peripheral ophthalmic artery aneurysm [Elektronische Daten] [Liang Qiao, Handong Wang, Lei Mao, Suihua Chen, Wei Xie, Qi Wu] Generally speaking, the term "ophthalmic aneurysms” refers to carotid-ophthalmic aneurysms, which arise from the internal carotid artery (ICA) wall at or around the origin of the ophthalmic artery (OA). In contrast, aneurysms arising from the OA stem or its branches, separate from the ICA are called peripheral OA aneurysms (POAAs). POAAs are a rare entity, which clinical features and natural course are not fully understood. A comprehensive literature review of reported aneurysms involving each segment of the OA was undertaken. The demographics, aetiology, clinical manifestations and treatment of reported POAAs are discussed. Of 35 retrieved cases, ten involved the intracranial segment, two were fusiform aneurysms in the optic canal, 17 arose from the intraorbital segment, and 6 involved either the lacrimal or the anterior ethmoidal branches. In 34 cases, clinical details were available; 18 patients experienced moderate to severe visual impairment including blindness, while seven patients had improvement in visual acuity as a result of surgical treatment. The present clinical review reveals that aneurysms of the OA stem and lacrimal branch are potentially threatening to visual acuity, while intracranial segment and anterior ethmoidal aneurysms can rupture and cause subarachnoid or intraparenchymal haemorrhage. Surgical intervention is mandatory in symptomatic cases to prevent visual deterioration or treat aneurismal rupture; alternatively, for small incidental POAAs "watchful waiting” may be indicated. Springer-Verlag, 2010 Aneurysm nationallicence Ophthalmic artery nationallicence Optic nerve nationallicence Vision nationallicence Subarachnoid haemorrhage nationallicence Qiao Liang Department of Neurosurgery, Jinling Hospital; Medical School, Nanjing University, 305 East Zhongshan Road, 210002, Nanjing, Jiangsu Province, People's Republic of China aut Wang Handong Department of Neurosurgery, Jinling Hospital; Medical School, Nanjing University, 305 East Zhongshan Road, 210002, Nanjing, Jiangsu Province, People's Republic of China aut Mao Lei Department of Neurosurgery, Jinling Hospital; Medical School, Nanjing University, 305 East Zhongshan Road, 210002, Nanjing, Jiangsu Province, People's Republic of China aut Chen Suihua Department of Ophthalmology, Jinling Hospital; Medical School, Nanjing University, 305 East Zhongshan Road, 210002, Nanjing, Jiangsu Province, People's Republic of China aut Xie Wei Department of Neurosurgery, Jinling Hospital; Medical School, Nanjing University, 305 East Zhongshan Road, 210002, Nanjing, Jiangsu Province, People's Republic of China aut Wu Qi Department of Neurosurgery, Jinling Hospital; Medical School, Nanjing University, 305 East Zhongshan Road, 210002, Nanjing, Jiangsu Province, People's Republic of China aut Neurosurgical Review Springer-Verlag 34/1(2011-01-01), 29-38 0344-5607 34:1<29 2011 34 10143 https://doi.org/10.1007/s10143-010-0290-5 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10143-010-0290-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Qiao Liang Department of Neurosurgery, Jinling Hospital; Medical School, Nanjing University, 305 East Zhongshan Road, 210002, Nanjing, Jiangsu Province, People's Republic of China aut NATIONALLICENCE 700 1- Wang Handong Department of Neurosurgery, Jinling Hospital; Medical School, Nanjing University, 305 East Zhongshan Road, 210002, Nanjing, Jiangsu Province, People's Republic of China aut NATIONALLICENCE 700 1- Mao Lei Department of Neurosurgery, Jinling Hospital; Medical School, Nanjing University, 305 East Zhongshan Road, 210002, Nanjing, Jiangsu Province, People's Republic of China aut NATIONALLICENCE 700 1- Chen Suihua Department of Ophthalmology, Jinling Hospital; Medical School, Nanjing University, 305 East Zhongshan Road, 210002, Nanjing, Jiangsu Province, People's Republic of China aut NATIONALLICENCE 700 1- Xie Wei Department of Neurosurgery, Jinling Hospital; Medical School, Nanjing University, 305 East Zhongshan Road, 210002, Nanjing, Jiangsu Province, People's Republic of China aut NATIONALLICENCE 700 1- Wu Qi Department of Neurosurgery, Jinling Hospital; Medical School, Nanjing University, 305 East Zhongshan Road, 210002, Nanjing, Jiangsu Province, People's Republic of China aut NATIONALLICENCE 773 0- Neurosurgical Review Springer-Verlag 34/1(2011-01-01), 29-38 0344-5607 34:1<29 2011 34 10143 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer