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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Article info
Publication history
Published online: August 18, 2020
Accepted:
July 21,
2020
Received:
April 12,
2020
Identification
Copyright
© 2020 Published by Elsevier Inc. on behalf of Canadian Ophthalmological Society.
