Lisch W
Klin Monbl Augenheilkd. 1976 Nov;169(5):613-7.
The case of a 44-year-old female patient with angiographically established symmetrical aneurysm of the internal carotid artery on both sides near the origin of the arteria ophthalmica is reported. The right ophthalmic artery is not perceptible for a distance of 2 mm in its early upper portion. The left ophthalmic artery is well filled. The visual capacity of the right eye is reduced to 1/24, the left eye has one of 1.0. The lower half of the visual field including the fixation point fails. The left visual field is characterized by a pronounced irregular concentrical narrowing with preserved fixation point. The different filling of the ophthalmic arteries is responsible for the difference in the visual capacity and in the visual fields of both eyes. Because, neurosurgically, only a resection of both aneurysms comes into question, one desists from this proceeding because of the extraordinary high risk of such an operation.
报告了一例44岁女性患者，血管造影显示双侧颈内动脉在眼动脉起始处附近存在对称性动脉瘤。右侧眼动脉在其起始上部2毫米的距离内无法显影。左侧眼动脉充盈良好。右眼视力降至1/24，左眼视力为1.0。包括注视点在内的右眼下半视野缺失。左眼视野表现为明显的不规则同心性缩窄，注视点保留。眼动脉的不同充盈情况导致了双眼视力和视野的差异。由于神经外科手术方面，仅切除双侧动脉瘤是可行的方案，但考虑到这种手术的极高风险，故放弃了该手术操作。
