Endovascular Management of Aneurysms and its Effect on the Eyes (Visual deficit)

Abstract

Introduction: Paraclinoid aneurysms are cerebral aneurysms that develop in the inner carotid artery (ICA) that connect the cavernous sinus outflow (proximal dural ring) with the posterior interconnecting artery (PCoA). Objective: This paper aimed to study endovascular management of aneurysms and its effect on the eyes (visual deficit). Patients and Methods: This paper showed a cross-sectional study followed to the outcome. This paper was studying endovascular management of aneurysms and its effect on the eyes (visual deficit) throughout 24^th 2021 February to 25^th June 2022 in different hospitals in Iraq were focused into the study of aneurysms patients into 35 ages even 65 years. This paper compared between ruptured patients and unruptured patients were included 55 cases into each of the two groups for ages during 35 to 65 years old, by using the SPSS program. Results and discussion: In the Examination of aneurysm patients, this paper was determined Ruptured (69.1%) and Unruptured (30.9%). This paper was progressed into Changes of outcomes patients into aneurysm patients based on sizes were found Regular (50.9%) was higher in compared with large (29.1%) and Giant (20%). To further of outcomes, this paper focused on Finding results of aneurysm features which appear to calcification of patients during preoperative in compare with thrombosis. To compare between the ruptured group and unruptured group, these results showed Changes of clip type into ruptured patients with 21 cases were. Found almost patients got vision curved, with 8 cases which Changes of clip type into unruptured patients which they gotten 11 cases of straight vision with only four patients. Conclusion: In conclusion, this paper found the unruptured patients got less impact of an aneurysm in compare with ruptured patients, which effect on patients’ vision during pre-operative. This study was progressed that almost all of the ruptured patients’ group had a lot of cases in Changes of clip type with a comparison with the unruptured patients’ group