Coil embolization for aneurysm of double-origin ophthalmic artery

Abstract

Purpose: To present a case of coil embolization of an ophthalmic artery aneurysm in a patient with a double-origin ophthalmic artery.
Case presentation: A 74-year-old woman presented to our hospital with dizziness. MRI revealed a right ophthalmic artery aneurysm. The ophthalmic artery consisted of a primitive dorsal ophthalmic artery (PDOA) and primitive ventral ophthalmic artery (PVOA). We embolized the aneurysm by occluding the PVOA, and observed no complications.
Conclusion: An aneurysm in an ophthalmic artery with two origins is rare. An understanding of the anatomy and hemodynamics is important for preserving visual acuity and decreasing embolic complications.