Swept-source optical coherence tomography angiography of an amalric choroidal infarction in a rare presentation of giant cell arteritis with bilateral corneal edema

Ann Q. Tran; Nicolas A. Yannuzzi; Elie H. Motulsky; Xiao Yi Zhou; Anat Galor; Sander R. Dubovy; Philip J. Rosenfeld; Byron L. Lam

doi:10.3928/23258160-20181002-21

Swept-source optical coherence tomography angiography of an amalric choroidal infarction in a rare presentation of giant cell arteritis with bilateral corneal edema

Ann Q. Tran, Nicolas A. Yannuzzi, Elie H. Motulsky, Xiao Yi Zhou, Anat Galor, Sander R. Dubovy, Philip J. Rosenfeld, Byron L. Lam

Ophthalmology

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

A 73-year-old woman with 2 weeks of progressive painless vision loss was found to have bilateral corneal edema, jaw claudication, and temporal headache. Multimodal imaging revealed an Amalric choroidal infarct in the left eye visualized by widefield indocyanine green angiography and swept-source optical coherence tomography angiography (SS-OCTA). Prompt intravenous corticosteroid treatment resulted in 20/20 vision, and giant cell arteritis (GCA) was confirmed by a temporal artery biopsy. The case underscores the use of widefield SS-OCTA as a non-invasive test to aid in the diagnosis of GCA, as well as bilateral cornea edema as a rare presentation of GCA.

Original language	English (US)
Pages (from-to)	e157-e160
Journal	Ophthalmic Surgery Lasers and Imaging Retina
Volume	49
Issue number	10
DOIs	https://doi.org/10.3928/23258160-20181002-21
State	Published - Oct 2018

ASJC Scopus subject areas

Surgery
Ophthalmology

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Tran, A. Q., Yannuzzi, N. A., Motulsky, E. H., Zhou, X. Y., Galor, A., Dubovy, S. R., Rosenfeld, P. J., & Lam, B. L. (2018). Swept-source optical coherence tomography angiography of an amalric choroidal infarction in a rare presentation of giant cell arteritis with bilateral corneal edema. Ophthalmic Surgery Lasers and Imaging Retina, 49(10), e157-e160. https://doi.org/10.3928/23258160-20181002-21

Swept-source optical coherence tomography angiography of an amalric choroidal infarction in a rare presentation of giant cell arteritis with bilateral corneal edema. / Tran, Ann Q.; Yannuzzi, Nicolas A.; Motulsky, Elie H.; Zhou, Xiao Yi; Galor, Anat ; Dubovy, Sander R.; Rosenfeld, Philip J.; Lam, Byron L.

In: Ophthalmic Surgery Lasers and Imaging Retina, Vol. 49, No. 10, 10.2018, p. e157-e160.

Research output: Contribution to journal › Article › peer-review

Tran, AQ, Yannuzzi, NA, Motulsky, EH, Zhou, XY, Galor, A , Dubovy, SR , Rosenfeld, PJ & Lam, BL 2018, 'Swept-source optical coherence tomography angiography of an amalric choroidal infarction in a rare presentation of giant cell arteritis with bilateral corneal edema', Ophthalmic Surgery Lasers and Imaging Retina, vol. 49, no. 10, pp. e157-e160. https://doi.org/10.3928/23258160-20181002-21

Tran, Ann Q. ; Yannuzzi, Nicolas A. ; Motulsky, Elie H. ; Zhou, Xiao Yi ; Galor, Anat ; Dubovy, Sander R. ; Rosenfeld, Philip J. ; Lam, Byron L. / Swept-source optical coherence tomography angiography of an amalric choroidal infarction in a rare presentation of giant cell arteritis with bilateral corneal edema. In: Ophthalmic Surgery Lasers and Imaging Retina. 2018 ; Vol. 49, No. 10. pp. e157-e160.

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abstract = "A 73-year-old woman with 2 weeks of progressive painless vision loss was found to have bilateral corneal edema, jaw claudication, and temporal headache. Multimodal imaging revealed an Amalric choroidal infarct in the left eye visualized by widefield indocyanine green angiography and swept-source optical coherence tomography angiography (SS-OCTA). Prompt intravenous corticosteroid treatment resulted in 20/20 vision, and giant cell arteritis (GCA) was confirmed by a temporal artery biopsy. The case underscores the use of widefield SS-OCTA as a non-invasive test to aid in the diagnosis of GCA, as well as bilateral cornea edema as a rare presentation of GCA.",

author = "Tran, {Ann Q.} and Yannuzzi, {Nicolas A.} and Motulsky, {Elie H.} and Zhou, {Xiao Yi} and Anat Galor and Dubovy, {Sander R.} and Rosenfeld, {Philip J.} and Lam, {Byron L.}",

note = "Funding Information: Originally submitted February 2, 2018. Revision received February 7, 2018. Accepted for publication February 28, 2018. Research support was provided by the NIH Center Core Grant P30EY014801 and Carl Zeiss Meditec. Dr. Galor receives financial support from the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Clinical Sciences Research EPID-006-15S, R01EY026174, NIH Center Core Grant P30EY014801, and Research to Prevent Blindness Unrestricted Grant. The remaining authors report no relevant financial disclosures. Address correspondence to Byron L. Lam, MD, Bascom Palmer Eye Institute, 900 NW 17th St., Miami, FL 33136; email: blam@med.miami.edu. doi: 10.3928/23258160-20181002-21",

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N1 - Funding Information: Originally submitted February 2, 2018. Revision received February 7, 2018. Accepted for publication February 28, 2018. Research support was provided by the NIH Center Core Grant P30EY014801 and Carl Zeiss Meditec. Dr. Galor receives financial support from the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Clinical Sciences Research EPID-006-15S, R01EY026174, NIH Center Core Grant P30EY014801, and Research to Prevent Blindness Unrestricted Grant. The remaining authors report no relevant financial disclosures. Address correspondence to Byron L. Lam, MD, Bascom Palmer Eye Institute, 900 NW 17th St., Miami, FL 33136; email: blam@med.miami.edu. doi: 10.3928/23258160-20181002-21

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