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Trakya Ü. Tıp Fakültesi Göz Hastalıkları AD., Edirne Case Report: Fifty-nine years old man, with high fever, headache and left visual loss had been hospitalized in an infection service. He had been referred to our clinic at the tenth day of his complaints, because of the occurance of visual loss in right eye, too. At the initial visit in our clinic, light perception was negative and central retinal artery occlusion was diagnosed in the left eye. His right visual acuity decreased from 0.5 to light perception dramatically and acute central retinal artery occlusion devoloped during the ophthalmologic examination. Since erythrocyte sedimantation rate (ESR) and C-reactive protein (CRP) levels had been found elevated, giant cell arteritis was thought as first line diagnosis and intravenous steroid treatment was administrated. Temporal artery biopsy reported late stage giant cell arteritis. For acute visual loss in elderly population, giant cell arteritis must be thought in etiology and, in order to prevent the visual loss in the other eye which can develop among hours and days, steroid therapy has to be administrated immediately. Keywords : Giant cell arteritis, Central retinal artery occlusion