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This is Dr Ansari, welcome to JA,
May know the report of MRI, MRA orbit with contrast? Any carotid Artery angiogram done?It is essential to know that if an Aneurysm is clipped which artery is that and is it causing any compression to nearby nerves or not.
In the orbit both ophthalmic artery and Internal carotid aneurysms are possible.
CSA and CT please what it stands for?
MRI and MRA brain and orbit with contrast, but please make sure this clip is paramagnetic before doing MRI.
It depends on which artery is clipped and the aneurysm was ruptured or not. What type of mass is beside the clip.And where it is clipped in Orbit conal or extra conal area. You have to upload the MRI of the Orbit post and pre-Clipping
With missing or suppressed pieces of information, the answers can not be given to the questions you asked.
I can enumerate in general the complications due to the mass and due to any post clip complications. These complications may or may not happen to you depending on your specific situation.
You are most welcome.
The steroids will shrink the mass (SOL) and its mass effects will decrease also it may be more accessible to remove surgically. Once steroids are stopped the mass may grow depending on doubling rate of the SOL.
It could be a Optic Neuroma.
Please do understand here in this chat we can say this may be is Optic nerve Neuroma/ Glioma or vascular Angioma but can not say with 100% surity
If this is Optic Nerve Glioma the treatment options are Surgery and Radiotherapy. Surgery is always challenging and most not choose this option.
I wish if I can help you more, however, if you have any more query you are most welcome.I hope you are satisfied with the information I gave and has answer most of your queries.
Ok, you are most welcome.
OK, that explains clear that Aneurysm is clipped near optic chiasma and inflammation around the clipped aneurysm is affecting the optic tract and nerve. Certainly, you need Neuro-Ophthalmologist.
Potentially any artery around the chiasma can bear this aneurysm. In your update, it is not mentioned which artery has an aneurysm. I think it is better to follow up with Neuro-Ophthalmologist.