Survey of Ophthalmology
Volume 51, Issue 4 , Pages 434-444, July 2006

That's a Wrap

  • Parisa Taravati, MD

      Affiliations

    • Departments of Ophthalmology, Neurology, and Neurosurgery, The University of Iowa Hospitals and Clinics (PT), Iowa City, Iowa
    • ,
  • Andrew G. Lee, MD

      Affiliations

    • Departments of Ophthalmology, Neurology, and Neurosurgery, The University of Iowa Hospitals and Clinics (PT), Iowa City, Iowa
    • ,
  • M. Tariq Bhatti, MD

      Affiliations

    • Departments of Ophthalmology
    • Neurology
    • Neurosurgery, University of Florida College of Medicine, Gainesville, Florida, USA
    • Corresponding Author InformationReprint address: M. Tariq Bhatti, MD, College of Medicine, University of Florida, Department of Ophthalmology, PO Box 100284, Gainesville, FL 32610-0284.
    • ,
  • Stephen B. Lewis, MD

      Affiliations

    • Neurosurgery, University of Florida College of Medicine, Gainesville, Florida, USA

PETER SAVINO AND HELEN DANESH-MEYER, EDITORS

Abstract 

Muslin-induced optochiasmatic arachnoiditis is a rare complication following surgical repair of an intracranial aneurysm but should be suspected in any delayed visual loss after aneurysm repair in which muslin was used. A 52-year-old male underwent clipping and muslin wrapping of a ruptured aneurysm of an anterior communicating artery. Eight months following surgery, the patient developed progressive visual loss, resulting in a bitemporal hemianopsia. Neuroimaging confirmed a suprasellar mass but no recurrent aneurysm. The patient was treated with prednisone and had significant improvement of his vision. Muslin wrapping of aneurysms should probably be avoided in aneurysms near the optic apparatus.

Key words: aneurysm, arachnoiditis, muslin, visual field loss, visual loss

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 The authors reported no proprietary or commercial interest in any product mentioned or concept discussed in this article. The manuscript was supported in part by an unrestricted departmental grant from Research to Prevent Blindness, Inc. (New York, NY). The authors would like to acknowledge the medical illustrator: David Peace, MS, Department of Neurological Surgery, University of Florida Brain Institute.

PII: S0039-6257(06)00079-8

doi:10.1016/j.survophthal.2006.04.006

Survey of Ophthalmology
Volume 51, Issue 4 , Pages 434-444, July 2006

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