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December 1985

Gradual Loss and Recovery of Vision in Temporal Arteritis

Author Affiliations

From the Departments of Neurology (Drs Lipton, Solomon, and Wertenbaker), Ophthalmology (Dr Wertenbaker), and the Headache Unit (Drs Lipton and Solomon), Montefiore Medical Center, and the Albert Einstein College of Medicine, Bronx, NY.

Arch Intern Med. 1985;145(12):2252-2253. doi:10.1001/archinte.1985.00360120124023

• Visual loss in temporal arteritis is usually sudden and irreversible. In this article, we describe a patient who complained of slowly progressive visual loss in one eye, eventually followed by loss of vision in the other eye and ophthalmoparesis. A biopsy specimen confirmed the diagnosis of temporal arteritis. Steroid therapy resulted in almost total recovery of vision. The gradual loss and recovery of vision is attributed to reversible ischemia of the optic nerve. This case broadens the spectrum of temporal arteritis to include complaints of progressive visual loss over several months.

(Arch Intern Med 1985:145:2252-2253)

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