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眶内眼脉动脉瘤非常罕见,作者报告1例,并成功地切除了动脉瘤,保存了视力。患者女性,63岁,主诉右侧突眼和视力障碍2周入院。检查:右眼球外突2mm,视力仅眼前数指,视乳头苍白,中心视野缺损,第3、6对颅神经麻痹,左眼视力正常。CT及 MRI 示右眼眶内块状阴影,颈内动脉造影显示动脉瘤来自眼动脉眶内段。手术经额下-翼点入路,在非眶顶处暴露一囊状动脉瘤,直径5mm,瘤体靠近眶尖,在眼动脉上方,沿着视神经外下方走行,泪
The intraorbital aneurysm of the eye is very rare. The author reported 1 case and successfully removed the aneurysm and preserved vision. A female patient, 63 years old, complained of right exophthalmos and visual impairment for 2 weeks. Examination: The right eye bulb protrusion 2mm, visual acuity just before the number of fingers, visual papilla pale, central visual field defect, 3rd, 6th paralysis of cranial nerves, normal vision of the left eye. CT and MRI showed mass shadow in the right eye, and internal carotid artery angiography showed that the aneurysm was from the inner segment of the ophthalmic artery. Surgery through the frontal - pterional approach, exposed a saccular aneurysm at the non-dome at a diameter of 5mm, the tumor close to the apex, above the ophthalmic artery, along the outside of the optic nerve, tears