A 78-year old male with a 2-moth history of progressive blurred vision OD. Three months prior to presentation, diffuse right-sided headaches followed by two episodes of dimming vision OD lasting seconds to hours.
Pathology
Intimal scarring and varied adventitial inflammation consistent with giant cell arteritis.
Disease/Diagnosis
Giant cell arteritis
Clinical
VA: 20/40 OD, 20/25 OS; Moderate nuclear sclerosis OD OS with pseudo-exfoliation. Tension applanation: 20 OD, 18 OS; Color plates: No test plate OD and test plates only OS
Presenting Symptom
Progressive blurred vision OD
Treatment
Corticosteroids; Surgery
Date
2006
References
1. Gonzalez-Gay MA, Rubiera G, Pinerior A et al. Ischemic Heart Disease in Patients from Northwest Spain with Biopsy Proven Giant cell Ateritis. A Population Study. The Journal Of Rheumatology 2005: 32 502-506 2. Nordborg E and Nordborg C. Giant Cell Arteritis: Strategies in Diagnosis and Treatment. Current Option in Rheumatology 2004: 16 25-30 3. Golzaled-Gay MA, Garcia-Porrua C and Llorca J et al. Visual Manifestations of Giant Cell Arteritis: Trends and linical Spectrum in 161 Patients. Medicine 2000; 9 283-292 4. Danesh-Meyer H, Savino P and Gamble G. Poor Prognosis of Visual Outcome After Visual Loss from Giant Cell Arteritis. Ophthalmology 2005: 112 1098-1103 5. Goletta S. Vasculitis In: Walsh and Hoy's Clinical Neuro-Ophthalmology. Philadelphia: Lippincott Williams and Wilkins 2005: 2365
Language
eng
Format
video/mp4
Type
Image/MovingImage
Source
32nd Annual North American Neuro-Ophthalmology Society Meeting, 2006 Frank B. Walsh Session
