Giant Cell Arteritis Presenting as Choroidal Infarction

Background. Giant cell arteritis (GCA) is a systemic granulomatous vasculitis that affects large- and medium-sized arteries of the head and neck. Ocular manifestations of GCA usually are anterior ischaemic optic neuropathy (AION) or retinal vessel occlusion. Case Report. We report an interesting cas...

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Main Authors: Nikolaos Kopsachilis, Maria Pefkianaki, Anca Marinescu, Sobha Sivaprasad
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2013/597398
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author Nikolaos Kopsachilis
Maria Pefkianaki
Anca Marinescu
Sobha Sivaprasad
author_facet Nikolaos Kopsachilis
Maria Pefkianaki
Anca Marinescu
Sobha Sivaprasad
author_sort Nikolaos Kopsachilis
collection DOAJ
description Background. Giant cell arteritis (GCA) is a systemic granulomatous vasculitis that affects large- and medium-sized arteries of the head and neck. Ocular manifestations of GCA usually are anterior ischaemic optic neuropathy (AION) or retinal vessel occlusion. Case Report. We report an interesting case of a 70-year-old man who presented with sudden vision loss and choroidal infarction in his left eye. Thorough clinical and paraclinical evaluation revealed an underlying GCA, the treatment of which prevented further vision loss and systemic complications. Conclusion. This is an unusual presentation of choroidal infarction associated with CGA and emphasizes the need of thorough systemic evaluation in patients with choroidal infarction.
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-be44497d080e4e3fb70153e1a58b1c702025-02-03T01:22:21ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302013-01-01201310.1155/2013/597398597398Giant Cell Arteritis Presenting as Choroidal InfarctionNikolaos Kopsachilis0Maria Pefkianaki1Anca Marinescu2Sobha Sivaprasad3Moorfields Eye Hospital, 162 City Road, London EC1V 2PD, UKMoorfields Eye Hospital, 162 City Road, London EC1V 2PD, UKMoorfields Eye Hospital, 162 City Road, London EC1V 2PD, UKMoorfields Eye Hospital, 162 City Road, London EC1V 2PD, UKBackground. Giant cell arteritis (GCA) is a systemic granulomatous vasculitis that affects large- and medium-sized arteries of the head and neck. Ocular manifestations of GCA usually are anterior ischaemic optic neuropathy (AION) or retinal vessel occlusion. Case Report. We report an interesting case of a 70-year-old man who presented with sudden vision loss and choroidal infarction in his left eye. Thorough clinical and paraclinical evaluation revealed an underlying GCA, the treatment of which prevented further vision loss and systemic complications. Conclusion. This is an unusual presentation of choroidal infarction associated with CGA and emphasizes the need of thorough systemic evaluation in patients with choroidal infarction.http://dx.doi.org/10.1155/2013/597398
spellingShingle Nikolaos Kopsachilis
Maria Pefkianaki
Anca Marinescu
Sobha Sivaprasad
Giant Cell Arteritis Presenting as Choroidal Infarction
Case Reports in Ophthalmological Medicine
title Giant Cell Arteritis Presenting as Choroidal Infarction
title_full Giant Cell Arteritis Presenting as Choroidal Infarction
title_fullStr Giant Cell Arteritis Presenting as Choroidal Infarction
title_full_unstemmed Giant Cell Arteritis Presenting as Choroidal Infarction
title_short Giant Cell Arteritis Presenting as Choroidal Infarction
title_sort giant cell arteritis presenting as choroidal infarction
url http://dx.doi.org/10.1155/2013/597398
work_keys_str_mv AT nikolaoskopsachilis giantcellarteritispresentingaschoroidalinfarction
AT mariapefkianaki giantcellarteritispresentingaschoroidalinfarction
AT ancamarinescu giantcellarteritispresentingaschoroidalinfarction
AT sobhasivaprasad giantcellarteritispresentingaschoroidalinfarction