Sudden-onset unilateral painless vision loss

A 75-year-old Caucasian woman presented with sudden-onset multifocal scotomas in her right eye's central vision for 1 day. There were subtle white intraretinal foveal lesions that correlated with patchy inner retinal hyperreflectivity on optical coherence tomography, suggestive of paracentral a...

Full description

Saved in:
Bibliographic Details
Published in:Survey of ophthalmology 2023-01, Vol.68 (1), p.142-145
Main Authors: Sodhi, Guneet, Mundae, Rusdeep, Lee, Michael S., Spencer, Doran B., Tang, Peter H.
Format: Article
Language:English
Subjects:
Aged
corticosteroids
Female
Fluorescein Angiography - methods
Giant cell arteritis
Giant Cell Arteritis - complications
Giant Cell Arteritis - diagnosis
Humans
Inflammatory markers
Optical coherence tomography
Paracentral acute middle maculopathy
Retina
Retinal Diseases - diagnosis
Temporal Arteries - pathology
Temporal artery biopsy
Tomography, Optical Coherence - methods
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 75-year-old Caucasian woman presented with sudden-onset multifocal scotomas in her right eye's central vision for 1 day. There were subtle white intraretinal foveal lesions that correlated with patchy inner retinal hyperreflectivity on optical coherence tomography, suggestive of paracentral acute middle maculopathy. Initial cerebrovascular work-up was negative. Review of systems was positive for lethargy and jaw claudication. The sedimentation rate and c-reactive protein were elevated, but platelet count was normal. The patient was started on 60 mg oral prednisone daily and underwent bilateral temporal artery that confirmed the diagnosis of giant cell arteritis.
ISSN:0039-6257
1879-3304
DOI:10.1016/j.survophthal.2021.10.003