Patient demographics, initial symptoms, imaging findings, and outcome (n = 8)
Case No./Age at Dx/Sex | Aneurysm Side and Dimensions (mm) | Precoiling Ophthalmologic Exam | Time to Visual Loss Postcoiling/Eye | Ophthalmologic Exam at Nadir | Length of Follow-up | VA at Last F/u | VF at Last F/u |
---|---|---|---|---|---|---|---|
1/40/F | Left 9.2 × 9.8 × 2.6 | No formal exam | Immediate, OS | VA: 20/20 OD, 6/200 OS | 6 months | 20/20 OU | Nl OD, Improved OS |
2/41/M | Right 20 × 12 × 14 | VA: HM OD, 20/20 OS; VF: severe visual field defect OD, Nl OS | 48 hours, OU | VF: Nl OD, inferonasal defect OS; VA: HM OD, 20/20 OS; VF: almost complete loss OD, complete temporal defect OS | 7 months | CF OD, 20/20 OS | Improved OU |
3/50/F | Left 11 | No formal exam | 12 hours, OS | VA: LP OS | Patient died after attempt to decompress the left optic nerve | – | – |
4/52/F | Left 16 × 16 × 17 | VA: 20/20 OU, Partial 3rd nerve palsy | 5 days, OS | VA: 20/20 OD, LP OS, complete ophthalmoplegia and 4-mm proptosis OS | 8 months | 20/20 OD, CF OS | Not tested |
5/53/M | Left 27 × 17 × 15 | Left trigeminal sensory neuropathy; VA: 20/25 OD, 20/200 OS; VF: Nl OD, severe defect OS | 24 hours, OU | VA: 20/30 OD, LP OS; VF: temporal field defect OD, no field OS | 20 months | 20/30 OD, LP OS | No change in VA or VF |
6/63/F | Left 14 × 9 × 7 | No formal exam | 24 hours, OU | VA: 20/25 OD, 20/200 OS; VF: mild superotemporal and inferotemporal scotomas OD, severe general constriction OS | 2 months | 20/30 OD, 20/50 OS | Improved OU |
7/68/F | Right 14 | VA: 20/200 OD, 20/30 OS; VF: severe field defect OD, slight superotemporal defect OS | 7 days, OU | VA: CF OD, 20/25 OS; VF: could not be plotted OD, temporal defect OS | 37 months | 20/50 OD, 20/25 OS | Improved OU |
8/71/F | Right 16 × 13 × 11 | No formal exam | 14 days, OD | VA: CF OD, 20/30 OS; VF: superotemporal island only OD, Nl OS | 13.5 months | 20/50 OD, 20/25 OS | Improved 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.