AIM: To evaluate fundus findings in patients with intracranial aneurysm(ICA)to determine the relation between ICA and distinguishable retinal features.

METHODS: We analyzed the medical records and ocular images of 46 patients with previously diagnosed ICA referred from the Neurosurgical Department. All patients underwent ophthalmologic evaluation including fluorescein angiography(FAG). Furthermore, the presence of drusen, macular degeneration, cotton wool spot, hard exudates, retinal hemorrhage, arteriolar attenuation, A-V crossing signs, arm-to-retina time, and A-V transit time were evaluated. The results of ICA patients(Group 1)were compared with those of 22 idiopathic epiretinal membrane patients with unaffected eyes(Group 2).

RESULTS: Mean ages were 60.02y(Group 1)and 60.68y(Group 2)respectively(P=0.70). The prevalence of hypertension was similar in both groups. No case with retinal macroaneurysm was found in either group. The presence of drusen, macular degeneration, cotton wool spot, hard exudates, retinal hemorrhage, arteriolar attenuation, and A-V crossing sign was not significantly different between the two groups. Mean arm-to-retina time was not significantly different in two groups, either.

CONCLUSION: We cannot find any evidence that the patients with ICA shows specific changes in the FAG and fundus.