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Photo Essay
February 2001

Bilateral Ocular Ischemic Syndrome Secondary to Giant Cell Arteritis

Arch Ophthalmol. 2001;119(2):306-307. doi:10-1001/pubs.Ophthalmol.-ISSN-0003-9950-119-2-epe00007

AN 83-YEAR-OLD woman sought treatment for bilateral visual loss, which had developed during the preceding week. She reported several weeks of weight loss, headache, scalp tenderness, and jaw claudication.

The examination revealed no light perception in either eye. Both corneas were edematous (Figure 1 and Figure 2) and the intraocular pressure by applanation was 2 mm Hg OU. Corneal edema obscured the view of the right optic disc; the left disc was swollen. Westergren erythrocyte sedimentation rate was 132 mm/h.

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