Successful treatment of ischaemic optic neuropathy secondary to giant cell arteritis with intravenous pulse of methylprednisolone

1995 ◽  
Vol 14 (6) ◽  
pp. 713-714 ◽  
Author(s):  
M. Manuela Costa ◽  
J. C. Romeu ◽  
Pereira Da Silva ◽  
Viana de Queiroz
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Optic Neuropathy ◽  
Successful Treatment ◽  
Ischaemic Optic Neuropathy

Optical coherence tomographic angiography identifies peripapillary microvascular dilation and focal non-perfusion in giant cell arteritis

2017 ◽  
Vol 102 (8) ◽  
pp. 1141-1146 ◽  
Author(s):  
Eric D Gaier ◽  
Aubrey L Gilbert ◽  
Dean M Cestari ◽  
John B Miller
Keyword(s):  
Visual Field ◽  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Optic Neuropathy ◽  
Visual Field Loss ◽  
Clinical Severity ◽  
Optical Coherence ◽  
Ischaemic Optic Neuropathy ◽  
Perfusion Defects ◽  
Tomographic Angiography

AimsWe set out to determine the optical coherence tomographic angiography (OCT-A) characteristics of arteritic anterior ischaemic optic neuropathy (AAION) in the context of giant cell arteritis (GCA).MethodsThis is an observational case series of four patients with AAION secondary to GCA, three with unilateral AAION and one with bilateral AAION. We reviewed the charts, fundus photography, visual fields, fluorescein angiography (FA) and OCT-A images for all patients to identify a unifying theme in a range of AAION clinical severity. Imaging of two healthy control eyes from two patients of similar age to the patients in our series were used for comparison.ResultsSuperficial peripapillary capillary dilation was seen in eyes with acute AAION. It was also noted in the fellow eyes of two patients. Retinal capillary perfusion defects corresponded to visual field loss. Dense optic disc oedema and cotton-wool spots imparted blockage effects. OCT-A laminar analysis did not highlight the choroidal/choriocapillaris perfusion defects seen on FA in two patients. Follow-up OCT-A was obtained in two patients and revealed progression to superficial peripapillary capillary attenuation that corresponded with visual field loss.ConclusionsThere are acute and chronic vascular changes in AAION that are detectable by OCT-A that correspond with visual function. Though the microvascular changes seen in GCA and AAION are not specific, the nearly ubiquitous findings among preclinical and clinically affected eyes in this series of patients with GCA support OCT-A as a potentially useful adjunctive diagnostic test in the work-up of ambiguous cases of suspected ischaemic optic neuropathy.

Arteritic anterior ischaemic optic neuropathy: An update

2021 ◽  
pp. 112067212110094
Author(s):  
Vidhi Bajpai ◽  
Siddharth Madan ◽  
Sarita Beri
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Optic Neuropathy ◽  
Visual Loss ◽  
Literature Search ◽  
Clinical Approach ◽  
Temporal Artery Biopsy ◽  
Management Protocol ◽  
Ischaemic Optic Neuropathy ◽  
Anterior Ischaemic Optic Neuropathy

Ischaemic optic neuropathy (ION) is a major cause of blindness. The clinical approach and management is a matter of debate for the treating neurologist and the ophthalmologist. Of the two broad varieties namely the posterior (PION) and anterior ischaemic optic neuropathy (AION), the arteritic variety of the AION (AAION) is usually due to giant cell arteritis. Giant cell arteritis may only present with visual loss in up to 25% of cases. AAION is a neuro-ophthalmic emergency. Early recognition and differentiation from AAION is imperative in order to prevent further devastating visual loss. A literature search was conducted on pubmed using key words as AAION, arteritic anterior ischaemic optic neuropathy, giant cell arteritis (GCA) and articles from the year 2000 till date were included. In any case very few reviews are available on AAION. The literature search on pubmed provided holistic overview about this clinical significant entity and the same is compiled in this review. Moreover the histopathologic features of a temporal artery biopsy have been described with its microscopic images. In any case reviews are mostly available on the Non arteritic variety of AION. This review recapitulates the diagnostic and management protocol of a patient presenting with AAION.

scholarly journals Bilateral Arteritic Anterior Ischemic Optic Neuropathy Associated with Giant Cell Arteritis in Korea

2017 ◽  
Vol 31 (5) ◽  
pp. 466 ◽  
Author(s):  
Hyeon-Jeong Yoon ◽  
Sang-Woo Park ◽  
Ho-Kyun Lee ◽  
Yoo-Duk Choi ◽  
Hwan Heo
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Optic Neuropathy ◽  
Anterior Ischemic Optic Neuropathy ◽  
Ischemic Optic Neuropathy

scholarly journals Anterior ischemic optic neuropathy due to biopsy-proven giant cell arteritis in Thai patients

2015 ◽  
pp. 1071 ◽  
Author(s):  
Taweevat Attaseth ◽  
Kavin Vanikieti ◽  
Anuchit Poonyathalang ◽  
Pisit Preechawat ◽  
Panitha Jindahra ◽  
...  
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Optic Neuropathy ◽  
Anterior Ischemic Optic Neuropathy ◽  
Ischemic Optic Neuropathy
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