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Intraorbital aneurysm of the ophthalmic artery
  1. Pavitra Garala,
  2. Jasvir Virdee,
  3. Madyan Qureshi and
  4. Timothy Gillow
  1. Department of Ophthalmology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK
  1. Correspondence to Ms Pavitra Garala, pavitra.garala{at}


Intraorbital ophthalmic artery (OA) aneurysms are rare. They can be asymptomatic or present with visual disturbances, exophthalmos and headaches. We present a case of a 57-year-old man who presented with reduced vision, diplopia and exophthalmos. A carotid artery angiogram identified a right OA aneurysm. Due to the low risk of rupture and the patient’s comorbidities including cardiac and renal impairment, a conservative approach was followed. A few weeks post presentation, the patient’s vision and optic nerve function had improved. This case reiterates the importance of considering conservative treatment for patients with intraorbital OA aneurysms.

  • visual pathway
  • radiology
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  • Contributors PG: planning, conduct and reporting. JV: acquisition of images and conduct. TG: overlooking the case report and reviewing the information. MQ: acquisition of images.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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