Anomalous Origins of Ophthalmic Arteries on Three-Dimensional Time-of-Flight Magnetic Resonance Angiography and Their Clinical Importance

Ophthalmic Res. 2020;63(3):341-346. doi: 10.1159/000502980. Epub 2019 Oct 23.

Abstract

Aim: The purpose of this paper was to evaluate rare cases of anomalous origins of the ophthalmic artery (OA) according to magnetic resonance angiography (MRA) findings.

Methods: This retrospective study included 80 patients diagnosed with anomalous OA origins between March 2015 and July 2018 from a sample of 16,024 patients. The patients included 47 females and 33 males with a mean age of 38.16 years (range 18-62 years). Three-dimensional time-of-flight (3D-TOF) MRA was performed for all patients.

Results: Eighty (0.5%) patients had anomalous OA origins. The most common type of OA origin anomaly was the right OA originating from the middle meningeal artery (0.17%). Twelve (0.07%) patients had OAs with an extradural origin.

Conclusions: Anomalous origins of the OA are rare. 3D-TOF MRA is a noninvasive imaging method that can be applied for the diagnosis of OA anomalies. Some OA variations can have a protective effect against ocular complications in vaso-occlusive events. Therefore, it is critical to know the variant anatomy of OAs.

Keywords: Magnetic resonance angiography; Ophthalmic artery; Origin anomaly.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Humans
  • Imaging, Three-Dimensional / methods*
  • Magnetic Resonance Angiography / methods*
  • Male
  • Middle Aged
  • Ophthalmic Artery / abnormalities*
  • Ophthalmic Artery / diagnostic imaging
  • Retrospective Studies
  • Vascular Malformations / diagnosis*
  • Young Adult