Simultaneous Appearance of Arteritic Anterior Ischemic Optic Neuropathy and Central Retinal Artery Occlusion in Giant Cell Arteritis
Main Article Content
Abstract
Giant cell arteritis (GCA) is uncommon among Asian population. It is frequently associated with sight threatening complications. Simultaneous bilateral ocular involvement with different pathology is uncommon. We would like to highlight a rare case of GCA that was presented with transient visual loss over the right eye with simultaneous onset of central retinal artery occlusion as well as arteritic anterior ischemic optic neuropathy in both eyes. High dose intravenous methylprednisolone then subsequently maintenance dose of oral steroid and oral aspirin were given. His visual acuity remained the same after treatment. Early diagnosis and treatment of GCA is crucial. Visual outcome can be devastating if treatment is delayed.
Downloads
Article Details
References
Pereira LS, Yoon MK, Hwang TN, et al. Giant cell arteritis in Asians: a comparative study. Br J Ophthalmol 2011; 95:214-6. doi:10.1136/bjo.2009.177220
Liu GT, Glaser JS, Schatz NJ, Smith JL. Visual morbidity in giant cell arteritis—Clinical characteristics and prognosis for vision. Ophthalmology 1994;101:1779–85. doi:10.1016/s0161-6420(94)31102-x.
Vodopivec I, Rizzo JF 3rd. Ophthalmic manifestations of giant cell arteritis. Rheumatology (Oxford) 2018;57(2):ii63-ii72. doi:10.1093/rheumatology/kex428
Hayreh SS, Podhajsky, PA, Zimmerman, B. Ocular manifestations of giant cell arteritis. Am J Ophthalmol 1998;125:509-20. doi:10.1016/s0002-9394(99)80192-5.
Joseph ADD, Pradeepan JA, Kumanan T, Malaravan M. Combined Left Central Retinal Artery Occlusion and Bilateral Anterior Ischemic Optic Neuritis: A Rare Presentation of Giant Cell Arteritis. Case Rep Rheumatol. 2019;2019:3236821. doi: 10.1155/2019/3236821.