Retina-Vitreous
2011 , Vol 19 , Num 4
Simultaneous Bilateral Sudden Visual Loss Due to Temporal Arteritis
1İnönü Üniversitesi, TÖTM, Göz Hastalıkları Anabilim Dalı, Malatya, Doç. Dr.2İnönü Üniversitesi, TÖTM, Göz Hastalıkları Anabilim Dalı, Malatya, Prof. Dr.
3İnönü Üniversitesi, TÖTM, Patoloji Anabilim Dalı, Malatya, Prof. Dr.
4İnönü Üniversitesi, TÖTM, Göz Hastalıkları Anabilim Dalı, Malatya, Asist. Dr. A 72-year-old man has bilateral sudden visual loss (SVL), which occurs after sequentially transient bilateral vision loss (TVL) in one week. He also complained of headache, jaw claudication and weight loss for 4-5 months. His familial history and CT scan were normal but he had high ESR and CRP levels. His vision was no light perception (NLP) in both eyes and fundoscopy and FFA findings suggest right central retinal artery occlusion (CRAO) and posterior ciliary artery occlusion on left eye. Bilateral temporal artery biopsy was positive for temporal arteritis (TA). However, intravenous bolus methylprednisolone treatment was given to the patientin 72 h and after intravenous treatment oral prednisone was given to the patient.The vision impairment was not occur in 3 months.In older patient, TVL, headache, jaw claudication may show TA. Early diagnosis of TA may prevent total visual loss. Keywords : Bilateral sudden visual loss, central retinal artery occlusion, posterior ciliary artery occlusion, temporal arteritis, transient visual loss