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Article
November 1952

OPTIC NERVE PRESSURE BY ANEURYSM RELIEVED BY DECOMPRESSION OF OPTIC NERVEReport of a Case

AMA Arch Ophthalmol. 1952;48(5):627-631. doi:10.1001/archopht.1952.00920010638011

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Abstract

INTRACRANIAL surgery in the treatment of aneurysms of the circle of Willis is rapidly gaining a foothold in many clinics. When the aneurysm impairs the function of the oculomotor nerve, the ophthalmic division of the fifth nerve or, especially, the optic pathways, symptoms are produced which frequently bring the patient to the ophthalmologist. In the case to be reported rapidly developing blindness was arrested and corrected by intracranial treatment of an aneurysm arising at the junction of the internal carotid and the ophthalmic artery. In this case, although no definitive treatment of the aneurysm itself was possible without great risk to the patient's vision, pressure on the optic nerve by the aneurysm was relieved by decompression of the nerve in the optic foramen.

REPORT OF CASE  A white woman aged 34, a housewife, was first seen on March 22, 1950, because of blurred vision in the right eye and an

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