A 40 year old woman presents with a chief complaint of decreased vision in both eyes for approximately one year. The symptoms are worse when looking in the distance.
Past medical history: Hypertension
Past surgical history: Repair of 2 left-sided intracranial aneurysms 18 months prior (a 3mm saccular aneurysm arising from the left middle cerebral artery and 2mm supraclinoid left internal carotid artery aneurysm)
Family History: Sister with an intracranial aneurysm that required