| Ophthalmic Artery Occlusion With Third Cranial Nerve Paresis Associated With Acute Internal Carotid Artery Occlusion. |
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Jae Hwan Ahn, Sul Gee Lee, Hyun Woong Kim |
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Department of Ophthalmology, Inje University Pusan Paik Hospital Korea, Busan, Korea. maekbak@hanmail.net |
| 급성내경동맥폐쇄로 인한 제3뇌신경 불완전마비를 동반한 안동맥폐쇄 |
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안재환ㆍ이슬기ㆍ김현웅 |
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Department of Ophthalmology, Inje University Pusan Paik Hospital Korea, Busan, Korea |
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| Abstract |
PURPOSE
We report a case of ophthalmic artery occlusion with third nerve paresis in the left eye due to acute occlusion of the left ICA. CASE SUMMARY: A 37-year-old man visited our emergency room with "black out" in the left eye, headache, and nausea. The corrected visual acuity was 20/25 in the right eye, and hand motion in the left eye. In the left eye, a relative afferent papillary defect was noted, with an intraocular pressure of six mmHg. Twenty prisms of exotropia in the primary position was observed, and ocular motor examination revealed limitations of supraduction, infraduction, and adduction in the left eye, suggesting third nerve palsy of the left eye. Fundus examination revealed a pale retina in the macula of the left eye. Brain MRI demonstrated multifocal faint low densities in the left caudate nucleus as well as the frontal and parietal lobes. CT angiography and four-vessel angiography demonstrated complete occlusion in the proximal part of the left internal carotid artery ICA. |
| Key Words:
ICA occlusion;Ophthalmic artery occlusion;Third nerve paresis |
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