Document Detail


Bilateral arteritic central retinal artery occlusion in a Chinese patient.
MedLine Citation:
PMID:  9630303     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report the first case of bilateral central retinal artery occlusion caused by giant cell arteritis in a Chinese patient. METHODS: We studied a Chinese patient who had a history of weight loss, calf claudication and sequential right and left central retinal artery occlusion. RESULTS: The erythrocyte sedimentation rate was greater than 150 mm/h. Temporal artery biopsy confirmed the diagnosis of giant cell arteritis. Systemic steroid prevented further visual loss in the second eye. CONCLUSIONS: We believe that this is the first report in literature on the ophthalmological presentation of giant cell arteritis in a Chinese patient. Giant cell arteritis as a cause of central retinal artery occlusion should always be on the list of differential diagnosis, as early diagnosis and treatment may help to salvage the first eye and prevent blindness from developing in the second eye.
Authors:
A K Kwok; D S Lam; C T Liew
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Australian and New Zealand journal of ophthalmology     Volume:  26     ISSN:  0814-9763     ISO Abbreviation:  Aust N Z J Ophthalmol     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-07-23     Completed Date:  1998-07-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8505423     Medline TA:  Aust N Z J Ophthalmol     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  175-6     Citation Subset:  IM    
Affiliation:
Prince of Wales Hospital Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Shatin, New Territories.
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MeSH Terms
Descriptor/Qualifier:
Aged
Biopsy
Blood Sedimentation
China
Giant Cell Arteritis / complications*,  drug therapy,  pathology
Glucocorticoids / therapeutic use
Humans
Male
Retinal Artery Occlusion / drug therapy,  etiology*,  pathology
Temporal Arteries / pathology
Visual Acuity
Chemical
Reg. No./Substance:
0/Glucocorticoids

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