Kwiecińska Maria, Bonczar Michał, Plutecki Dawid, Michalczak Mateusz, Pająk Zuzanna, Canon Rinoa, Elsaftawy Ahmed, Walocha Jerzy, Koziej Mateusz, Ostrowski Patryk
Department of Anatomy, Jagiellonian University Medical College, Mikołaja Kopernika 12, Kraków, 33-332, Poland.
Youth Research Organization, Youthoria, Kraków, Poland.
Neurosurg Rev. 2025 Jul 18;48(1):572. doi: 10.1007/s10143-025-03731-7.
The ophthalmic artery (OA) plays a crucial role in supplying blood to various ocular and orbital structures through its numerous branches. This meta-analysis aims to provide a comprehensive analysis of the anatomical variations of the OA based on the available data present in the literature.
Major online medical databases, including PubMed, Embase, Scopus, and Web of Science were systematically reviewed to identify and collect all relevant studies addressing the anatomical characteristics, morphometry, and variations of the OA.
The overall length of the first part of the OA was found to be 4.57 mm, the second part being 3.62 mm, and the third part measuring 5.26 mm. The overall mean diameter was described as 1.51 mm. The most common location of the optic nerve (ON) was found to be inferior with respect to the OA, with a pooled prevalence of this variation being 82.31%. Concerning the entrance into the optic canal, the OA was found most commonly to enter inferolaterally in respect to the ON, with a pooled prevalence of 54.64%.
This meta-analysis provides essential anatomical reference data on the ophthalmic artery, including its morphometry, branching patterns, and relationship to the optic nerve. These findings have direct clinical relevance in improving the safety and precision of procedures such as aneurysm clipping, embolization of dural arteriovenous fistulas, and management of orbital trauma, ultimately aiding surgical planning and minimizing the risk of visual or vascular complications.
眼动脉（OA）通过其众多分支在为各种眼部和眶部结构供血方面发挥着关键作用。本荟萃分析旨在根据文献中现有的数据对眼动脉的解剖变异进行全面分析。
对包括PubMed、Embase、Scopus和Web of Science在内的主要在线医学数据库进行系统综述，以识别和收集所有涉及眼动脉解剖特征、形态测量和变异的相关研究。
发现眼动脉第一部分的总长度为4.57毫米，第二部分为3.62毫米，第三部分为5.26毫米。总体平均直径为1.51毫米。发现视神经（ON）最常见的位置相对于眼动脉为下方，这种变异的合并患病率为82.31%。关于进入视神经管，发现眼动脉最常见的进入方式是相对于视神经从外下进入，合并患病率为54.64%。
本荟萃分析提供了关于眼动脉的重要解剖学参考数据，包括其形态测量、分支模式以及与视神经的关系。这些发现对于提高诸如动脉瘤夹闭、硬脑膜动静脉瘘栓塞和眼眶创伤处理等手术的安全性和精确性具有直接的临床意义，最终有助于手术规划并将视觉或血管并发症的风险降至最低。
