Table 1:

Patient demographics, initial symptoms, imaging findings, and outcome (n = 8)

Case No./Age at Dx/SexAneurysm Side and Dimensions (mm)Precoiling Ophthalmologic ExamTime to Visual Loss Postcoiling/EyeOphthalmologic Exam at NadirLength of Follow-upVA at Last F/uVF at Last F/u
1/40/FLeft 9.2 × 9.8 × 2.6No formal examImmediate, OSVA: 20/20 OD, 6/200 OS6 months20/20 OUNl OD, Improved OS
2/41/MRight 20 × 12 × 14VA: HM OD, 20/20 OS; VF: severe visual field defect OD, Nl OS48 hours, OUVF: Nl OD, inferonasal defect OS; VA: HM OD, 20/20 OS; VF: almost complete loss OD, complete temporal defect OS7 monthsCF OD, 20/20 OSImproved OU
3/50/FLeft 11No formal exam12 hours, OSVA: LP OSPatient died after attempt to decompress the left optic nerve
4/52/FLeft 16 × 16 × 17VA: 20/20 OU, Partial 3rd nerve palsy5 days, OSVA: 20/20 OD, LP OS, complete ophthalmoplegia and 4-mm proptosis OS8 months20/20 OD, CF OSNot tested
5/53/MLeft 27 × 17 × 15Left trigeminal sensory neuropathy; VA: 20/25 OD, 20/200 OS; VF: Nl OD, severe defect OS24 hours, OUVA: 20/30 OD, LP OS; VF: temporal field defect OD, no field OS20 months20/30 OD, LP OSNo change in VA or VF
6/63/FLeft 14 × 9 × 7No formal exam24 hours, OUVA: 20/25 OD, 20/200 OS; VF: mild superotemporal and inferotemporal scotomas OD, severe general constriction OS2 months20/30 OD, 20/50 OSImproved OU
7/68/FRight 14VA: 20/200 OD, 20/30 OS; VF: severe field defect OD, slight superotemporal defect OS7 days, OUVA: CF OD, 20/25 OS; VF: could not be plotted OD, temporal defect OS37 months20/50 OD, 20/25 OSImproved OU
8/71/FRight 16 × 13 × 11No formal exam14 days, ODVA: CF OD, 20/30 OS; VF: superotemporal island only OD, Nl OS13.5 months20/50 OD, 20/25 OSImproved OD
  • Note:—DX indicates diagnosis; F/u, follow-up; OD, right eye; OS, left eye; OU, both eyes; Nl, normal; VA, visual acuity; VF, visual field; HM, hand motion; LP, light perception; CF, count fingers.