Optic-nerve compression by the internal carotid artery as a cause of “unexplained: optic atrophy
Objective: To present a case of bilateral optic neuropathy secondary to optic-nerve compression by the internal carotid artery (ICA). Methods: Observational case report; single patient seen in private practice. Results: Compression of the optic nerves by the ICAs as the etiology of unexplaine...
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| Format: | Article |
| Language: | English |
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Philippine Academy of Ophthalmology
2004-12-01
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| Series: | Philippine Journal of Ophthalmology |
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| Online Access: | https://paojournal.com/index.php/pjo/article/view/436 |
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| _version_ | 1849339838159912960 |
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| author | Richard C. Kho, MD |
| author_facet | Richard C. Kho, MD |
| author_sort | Richard C. Kho, MD |
| collection | DOAJ |
| description | Objective: To present a case of bilateral optic neuropathy secondary to optic-nerve compression by the internal carotid artery (ICA).
Methods: Observational case report; single patient seen in private practice.
Results: Compression of the optic nerves by the ICAs as the etiology of unexplained progressive optic neuropathy is reported. The patient refused further invasive procedures after diagnosis.
Conclusion: Compressive optic neuropathy due to direct pressure by the adjacent ICA should be considered as a possible etiology of occult, progressive visual loss in an otherwise healthy patient. Although rare, the clinical picture of progressive optic neuropathy backed by evidence of magnetic resonance imaging (MRI) should clinch the diagnosis early and spare the patient from further unnecessary ancillary work-up. |
| format | Article |
| id | doaj-art-53e9f33b491b42f1aeead0e35c57710e |
| institution | Kabale University |
| issn | 0031-7659 |
| language | English |
| publishDate | 2004-12-01 |
| publisher | Philippine Academy of Ophthalmology |
| record_format | Article |
| series | Philippine Journal of Ophthalmology |
| spelling | doaj-art-53e9f33b491b42f1aeead0e35c57710e2025-08-20T03:44:02ZengPhilippine Academy of OphthalmologyPhilippine Journal of Ophthalmology0031-76592004-12-01294186188436Optic-nerve compression by the internal carotid artery as a cause of “unexplained: optic atrophyRichard C. Kho, MD0Department of Ophthalmology and Visual Sciences University of the Philippines Philippine General Hospital Manila, PhilippinesObjective: To present a case of bilateral optic neuropathy secondary to optic-nerve compression by the internal carotid artery (ICA). Methods: Observational case report; single patient seen in private practice. Results: Compression of the optic nerves by the ICAs as the etiology of unexplained progressive optic neuropathy is reported. The patient refused further invasive procedures after diagnosis. Conclusion: Compressive optic neuropathy due to direct pressure by the adjacent ICA should be considered as a possible etiology of occult, progressive visual loss in an otherwise healthy patient. Although rare, the clinical picture of progressive optic neuropathy backed by evidence of magnetic resonance imaging (MRI) should clinch the diagnosis early and spare the patient from further unnecessary ancillary work-up.https://paojournal.com/index.php/pjo/article/view/436compressive optic neuropathyinternal carotid arterydolichoectatic arteryfusiform enlargement |
| spellingShingle | Richard C. Kho, MD Optic-nerve compression by the internal carotid artery as a cause of “unexplained: optic atrophy Philippine Journal of Ophthalmology compressive optic neuropathy internal carotid artery dolichoectatic artery fusiform enlargement |
| title | Optic-nerve compression by the internal carotid artery as a cause of “unexplained: optic atrophy |
| title_full | Optic-nerve compression by the internal carotid artery as a cause of “unexplained: optic atrophy |
| title_fullStr | Optic-nerve compression by the internal carotid artery as a cause of “unexplained: optic atrophy |
| title_full_unstemmed | Optic-nerve compression by the internal carotid artery as a cause of “unexplained: optic atrophy |
| title_short | Optic-nerve compression by the internal carotid artery as a cause of “unexplained: optic atrophy |
| title_sort | optic nerve compression by the internal carotid artery as a cause of unexplained optic atrophy |
| topic | compressive optic neuropathy internal carotid artery dolichoectatic artery fusiform enlargement |
| url | https://paojournal.com/index.php/pjo/article/view/436 |
| work_keys_str_mv | AT richardckhomd opticnervecompressionbytheinternalcarotidarteryasacauseofunexplainedopticatrophy |