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Bilateral cilioretinal artery occlusions in giant cell arteritis

Published:August 18, 2020DOI:https://doi.org/10.1016/j.jcjo.2020.07.018
      An 82-year-old man presented with painless sequential vision loss of his right eye (OD). Ten days earlier, he presented to another hospital for left eye (OS) vision loss. His vision was Light perception only OD and No light perception OS. Fundoscopy demonstrated bilateral cilioretinal artery occlusions with chalky white optic disc swelling OS (Fig. A, B). Although he denied symptoms of giant cell arteritis (GCA) and had normal inflammatory markers, his clinical examination was suspicious for GCA, which was confirmed by temporal artery biopsy. Pale optic disc edema in combination with cilioretinal artery occlusions is highly suggestive of GCA. Prompt recognition and treatment are crucial to prevent blindness.
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