Asymmetric progressive glaucomatous optic neuropathy in a patient with a rare developmental variant of the ophthalmic artery.
OBJECTIVE
To report a case of a developmental anatomic finding of the ophthalmic artery (OA) in a patient with ipsilateral progressive advanced glaucomatous optic neuropathy and visual field loss.


METHODS
A 59-year-old Asian man with normal tension glaucoma had progressive asymmetric visual field loss OD. Magnetic resonance imaging and angiography of the orbit were performed because of continued progression despite medical and surgical intervention.


RESULTS
Magnetic resonance angiography revealed an anomalous OA, lateral to the carotid artery and emanating from a branch of the middle meningeal artery.


CONCLUSIONS
OA anomalies should be added to the differential diagnosis of risk factors for unilateral progressive glaucomatous optic neuropathy, and neuroradiologic imaging should be considered to detect such anatomic variants.
Sbeity
Zaher
Z
Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, NY 10003, USA.
Palmiero
Pat-Michael
PM
Saint-Louis
L A
LA
Dorairaj
Syril
S
Liebmann
Jeffrey
J
Ritch
Robert
R
D018450:Disease Progression; D005124:Eye Abnormalities / Q000150:complications* / Q000175:diagnosis; D005902:Glaucoma, Open-Angle / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007429:Intraocular Pressure; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D009880:Ophthalmic Artery / Q000002:abnormalities*; D009898:Optic Disk / Q000473:pathology; D009901:Optic Nerve Diseases / Q000175:diagnosis / Q000209:etiology*; D012307:Risk Factors; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology; D014794:Visual Fields