Treatable blindness in temporal arteritis.

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Treatable blindness in temporal arteritis.

Temporal arteritis is a common cause of blindness. Prompt steroid treatment limits unilateral visual loss while protecting the contralateral eye. Established blindness is irreversible. We report a case of temporal arteritis in which an eye with no light perception secondary to an arteritic anterior ischaemic optic neuropathy regained 6/6 vision.

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A case is presented of cortical blindness in cranial arteritis. A clinical diagnosis at the time of presentation was based on the integrity of the pupillary light reflex and the absence of visually evoked responses. Pathological examination confirmed bilateral occipital infarction. This report stresses the need for recognizing this presentation of cranial arteritis and initiating immediate trea...

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Preventable blindness in giant cell arteritis.

Giant cell arteritis is an important cause of blindness in the elderly. Often vision may be lost because of a delay in diagnosis. The commonest ophthalmic presentation is anterior ischaemic optic neuropathy with optic disc pallor and swelling; also recognised are diptopia, occlusion of the central retinal artery, and amaurosis fugax.' These, in the presence of an increased erythrocyte sedimenta...

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Temporal arteritis.

Temporal or giant cell arteritis is an inflammation of medium and small extracranial vessels that may result in ocular ischemia, an aortitis followed by aortic dissection and peripheral limb ischemia. It should be considered a medical emergency due to the seriousness of end organ damage, in particular visual symptoms. While the presentation may be nonspecific, the presence of a tender temporal ...

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Orbital haemorrhage and prolonged blindness: a treatable posterior optic neuropathy.

Two patients developed traumatic orbital haemorrhage resulting in prolonged blindness. Orbital decompression successfully reversed the visual loss, though both eyes had no light perception for at least 3 1/2 hours. The clinical findings suggest damage to the posterior optic nerve as cause of the visual loss. The optic nerve tolerance time to ischaemic injury may be longer than previously thought.

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ژورنال

عنوان ژورنال: British Journal of Ophthalmology

سال: 1991

ISSN: 0007-1161

DOI: 10.1136/bjo.75.7.432