Clinicopathologic Reports, Case Reports, and Small Case Seriesdoi |

Slowly Progressive Vision Loss in Giant Cell Arteritis

Anat Galor, MD; Michael S. Lee, MD
Arch Ophthalmol. 2006;124(3):416-418. doi:10.1001/archopht.124.3.416.
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Vision loss in patients with giant cell arteritis (GCA) typically occurs over the course of seconds to days and often involves the other eye soon after. We describe a patient with arteritic anterior ischemic optic neuropathy and unusually slow progression of reversible vision loss for 1 month in the fellow eye.

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Figure 1.

Fluorescein angiogram of the left eye. A, At admission, the choroid began filling at 25.9 seconds and showed persistent, marked choroidal filling delay at 50.5 seconds. B, After treatment with corticosteroids, the choroidal filling time normalized, beginning at 26.6 seconds and complete by 32.2 seconds.

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Figure 2.

Biopsy specimen of the left temporal artery. Note multiple giant cells (arrow; hematoxylin-eosin, original magnification ×150).

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The Rational Clinical Examination
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