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Recovery of vision from no light perception in giant cell arteritis
Journal article   Open access   Peer reviewed

Recovery of vision from no light perception in giant cell arteritis

Matthew J Thurtell and Randy H Kardon
Archives of ophthalmology (1960), Vol.130(8), pp.1080-1082
08/2012
DOI: 10.1001/archophthalmol.2012.308
PMID: 22893089
url
https://doi.org/10.1001/archophthalmol.2012.308View
Published (Version of record) Open Access

Abstract

Up to 50% of patients with giant cell arteritis (GCA) have visual symptoms early in the disease course, in most cases due to anterior ischemic optic neuropathy (AION).1 The vision loss from AION in GCA is often devastating, with the initial visual acuity being 20/200 or worse in more than 50% of patients.1,2 There is often, but not always, pallid optic disc edema and there is rarely a significant recovery, even with timely initiation of corticosteroids.2-6 We describe a patient with biopsy-proven GCA who had severe vision loss due to AION but had almost complete recovery of vision over subsequent weeks.
Visual Fields - physiology Glucocorticoids - therapeutic use Administration, Oral Blindness - physiopathology Humans Temporal Arteries - pathology Optic Neuropathy, Ischemic - physiopathology Giant Cell Arteritis - physiopathology Biopsy Recovery of Function - physiology Female Aged Visual Field Tests Visual Acuity - physiology Prednisone - therapeutic use Fluorescein Angiography

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