Rapid, painless unilateral vision loss in a 37-year-old healthy woman.

Abstract:

:A 37-year-old woman experienced painless, progressive vision loss to no light perception in the left eye over the course of 3 days. The right eye was unaffected. On examination, the only other abnormal finding was a +4 left afferent pupillary defect. She was initially diagnosed with retrobulbar optic neuritis and admitted for treatment with intravenous methylprednisolone. Neuro-imaging revealed a large right anterior cerebral artery aneurysm that crossed the midline to compress the left optic nerve. The aneurysm was treated with coil embolization, which was technically successful but which did not lead to significant improvement in vision.

journal_name

Surv Ophthalmol

journal_title

Survey of ophthalmology

authors

Craenen G,Brown SM,Freedman KA,Windisch TR,Corona J

doi

10.1016/j.survophthal.2004.02.012

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

343-8

issue

3

eissn

0039-6257

issn

1879-3304

pii

S0039625704000335

journal_volume

49

pub_type

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