Acute vision loss and choroidal filling delay in the absence of giant-cell arteritis

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Acute vision loss and choroidal filling delay in the absence of giant-cell arteritis

Giant-cell arteritis (GCA) is a visually devastating disease that often progresses to severe bilateral vision loss if untreated. Diagnosis of GCA is made challenging by the protean nature of the disease and the lack of a simple test that is both highly sensitive and specific. Choroidal filling delay on fluorescein angiography (FA) has been touted as a highly characteristic feature of GCA-relate...

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Acute hearing loss in giant cell arteritis.

Introduction The classical picture ofgiant cell arteritis, an elderly patient with headache and an inflamed temporal artery, is well known. It is also well recognized that in some patients sudden blindness may be the first sign of the disease (Healey and Wilske, 1977). However, when these cardinal manifestations are absent or vague and the patient develops an uncommon symptom, the diagnosis is ...

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Bilateral choroidal ischemia in giant cell arteritis.

A 71-YEAR-OLD WOMAN experienced vision loss for 2 weeks in her right eye along with jaw pain, headache, fevers, and malaise. Her visual acuity was 20/200 OD and 20/30 OS. She had a right afferent pupillary defect. Findings from her fundus examination were normal except for rare cotton-wool spots (Figure 1). Her blood pressure was normal. A fluorescein angiogram revealed delayed choroidal fillin...

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Giant Cell Arteritis Presenting as Choroidal Infarction

Background. Giant cell arteritis (GCA) is a systemic granulomatous vasculitis that affects large- and medium-sized arteries of the head and neck. Ocular manifestations of GCA usually are anterior ischaemic optic neuropathy (AION) or retinal vessel occlusion. Case Report. We report an interesting case of a 70-year-old man who presented with sudden vision loss and choroidal infarction in his left...

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Giant cell arteritis

Giant cell arteritis (GCA), temporal arteritis or Horton’s arteritis, is a systemic vasculitis which involves large and medium sized vessels, especially the extracranial branches of the carotid arteries, in persons usually older than 50 years. Permanent visual loss, ischaemic strokes, and thoracic and abdominal aortic aneurysms are feared complications of GCA. The treatment consists of high dos...

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ژورنال

عنوان ژورنال: Clinical Ophthalmology

سال: 2016

ISSN: 1177-5483

DOI: 10.2147/opth.s112196