Giant cell arteritis in the ocular ischemic syndrome

L. M. Hamed, John Guy, M. L. Moster, T. Bosley

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Oculomotor nerve paresis, ocular hypotony, anterior segment ischemia, and the ocular ischemic syndrome are uncommon manifestations of giant cell arteritis. Four patients with these findings had giant cell arteritis documented by temporal artery biopsy. Cerebral angiography or ultrasonography, or both, performed in three patients, excluded hemodynamically significant stenosis of the internal carotid artery as the cause of ocular ischemia and cerebral aneurysms as the cause of oculomotor nerve paresis. Corticosteroid treatment, administered to three patients, resulted in resolution of the oculomotor deficits and the clinical signs of ocular ischemia, although the visual acuity in one patient improved from 20/400 to 20/60. Giant cell arteritis should be considered in the differential diagnosis of the ocular ischemic syndrome.

Original languageEnglish
Pages (from-to)702-705
Number of pages4
JournalAmerican Journal of Ophthalmology
Volume113
Issue number6
StatePublished - Jan 1 1992
Externally publishedYes

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Giant Cell Arteritis
Oculomotor Nerve
Ischemia
Paresis
Ocular Hypotension
Temporal Arteries
Cerebral Angiography
Carotid Stenosis
Intracranial Aneurysm
Visual Acuity
Ultrasonography
Adrenal Cortex Hormones
Differential Diagnosis
Biopsy
Therapeutics

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Hamed, L. M., Guy, J., Moster, M. L., & Bosley, T. (1992). Giant cell arteritis in the ocular ischemic syndrome. American Journal of Ophthalmology, 113(6), 702-705.

Giant cell arteritis in the ocular ischemic syndrome. / Hamed, L. M.; Guy, John; Moster, M. L.; Bosley, T.

In: American Journal of Ophthalmology, Vol. 113, No. 6, 01.01.1992, p. 702-705.

Research output: Contribution to journalArticle

Hamed, LM, Guy, J, Moster, ML & Bosley, T 1992, 'Giant cell arteritis in the ocular ischemic syndrome', American Journal of Ophthalmology, vol. 113, no. 6, pp. 702-705.
Hamed, L. M. ; Guy, John ; Moster, M. L. ; Bosley, T. / Giant cell arteritis in the ocular ischemic syndrome. In: American Journal of Ophthalmology. 1992 ; Vol. 113, No. 6. pp. 702-705.
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