Copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2006
Vision loss in patients with giant cell arteritis (GCA) typically occurs over the course of seconds to days and often involves the other eye soon after. We describe a patient with arteritic anterior ischemic optic neuropathy and unusually slow progression of reversible vision loss for 1 month in the fellow eye.
A 93-year-old man taking warfarin sodium (Coumadin) because of atrial fibrillation awoke with sudden painless vision loss in the right eye. Visual acuity was counting fingers OD and 20/30 OS. He identified 10 of 10 Ishihara color plates with the left eye. Funduscopy of the right eye revealed hyperemic optic nerve edema with hemorrhages and a small cup-disc ratio in the left eye. Strong bilateral, nontender temporal artery pulses were present. The patient denied systemic symptoms of GCA. The erythrocyte sedimentation rate (Westergren method) was 35 mm/h.
Galor A, Lee MS. Slowly Progressive Vision Loss in Giant Cell Arteritis. Arch Ophthalmol. 2006;124(3):416-418. doi:10.1001/archopht.124.3.416