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¹İzmir Atatürk Eğitim ve Araştırma Hastanesi Göz Kliniği, İzmir, Uzm. Dr
²İzmir Atatürk Eğitim ve Araştırma Hastanesi Göz Kliniği Başasistanı, İzmir, Uzm. Dr
³İzmir Atatürk Eğitim ve Araştırma Hastanesi Göz Kliniği Şefi., İzmir, Prof. Dr A 65-year-old female was referred with a decrease in vision in the left eye to our clinic. Patient was managed for the diagnosis of acute renal failure in the internal medicine clinic. Visual acuity was hand motion in the left eye with a 2+ relative afferent pupillary defect and markedly decreased color vision. Fundus examination revealed optic disc edema as well as a cilioretinal artery occlusion. The patient denied any other ocular or systemic symptoms related to giant cell arteritis. Biopsy of the superficial temporal artery confirmed the diagnosis of giant cell arteritis. Pulse steroid treatment (1000 mg/day) was performed for three days before the biopsy was resulted. Treatment was contiuned with oral corticosteroid (1mg/kg). The retinal and optic nerve edema was improved at 2 month visit significantly. This case highlights the situation where clinical symptoms were not suspicious for giant cell arteritis but the presence of an anterior ischemic optic neuropathy and a cilioretinal artery occlusion was virtually pathognomonic for giant cell arteritis. Keywords : Giant cell arteritis, anterior ischemic optic neuropathy, cilioretinal artery occlusion