Thick corneas, large pupils, and a giant problem

Abstract An 87-year-old woman presented 1 month after uneventful cataract surgery with ipsilateral corneal edema. She was diagnosed with pseudophakic bullous keratopathy and scheduled for endothelial transplantation. However, a few days later, she presented with bilateral corneal edema, dilated pupi...

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Bibliographic Details
Published in:Survey of ophthalmology 2018-07, Vol.63 (4), p.595-599
Main Authors: Pellegrini, Francesco, MD, Prosdocimo, Giovanni, MD, Bonsanto, Daniela, MD, Foroozan, Rod, MD
Format: Article
Language:English
Subjects:
central retina artery occlusion
choroidal ischemia
corneal edema
giant cell arteritis
ocular hypotony
ocular ischemic syndrome
Ophthalmology
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Summary:Abstract An 87-year-old woman presented 1 month after uneventful cataract surgery with ipsilateral corneal edema. She was diagnosed with pseudophakic bullous keratopathy and scheduled for endothelial transplantation. However, a few days later, she presented with bilateral corneal edema, dilated pupils and further reduction of visual acuity. Neuro-Ophthalmic evaluation disclosed a bilateral ocular ischemic syndrome causing complete visual loss. Temporal artery biopsy was consistent with GCA. Corneal decompensation should be considered as a rare presentation of GCA, that ophthalmologists should suspect in any case of unilateral or bilateral ocular ischemic syndrome.
ISSN:0039-6257
1879-3304
DOI:10.1016/j.survophthal.2017.06.003