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 Dubovy, Philip J Rosenfeld, Byron L Lam

Research output: Contribution to journalArticle

1 Citation (Scopus)

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 languageEnglish (US)
Pages (from-to)e157-e160
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume49
Issue number10
DOIs
StatePublished - Oct 1 2018

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Corneal Edema
Giant Cell Arteritis
Optical Coherence Tomography
Infarction
Angiography
Multimodal Imaging
Temporal Arteries
Indocyanine Green
Jaw
Cornea
Headache
Edema
Adrenal Cortex Hormones
Biopsy
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

Cite this

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title = "Swept-source optical coherence tomography angiography of an amalric choroidal infarction in a rare presentation of giant cell arteritis with bilateral corneal edema",
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.",
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AU - Yannuzzi, Nicolas A.

AU - Motulsky, Elie H.

AU - Zhou, Xiao Yi

AU - Galor, Anat

AU - Dubovy, Sander

AU - Rosenfeld, Philip J

AU - Lam, Byron L

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