Purpose of review: To review the neuroophthalmic manifestations of cavernous and posterior communicating artery aneurysms as well as the diagnosis and treatment options for patients with these kinds of aneurysms.
Recent findings: The natural history of cavernous aneurysms has recently been systematically followed. Comparison of coiling and clipping for posterior communicating artery aneurysms has yielded new suggestions on how to best treat these patients.
Summary: The review discusses how to follow these cases, diagnose and treat, and assess for complications after treatment decisions have been made.