Document Detail

Central serous chorioretinopathy in giant cell arteritis.
MedLine Citation:
PMID:  16517445     Owner:  NLM     Status:  MEDLINE    
A 66-year-old woman started oral prednisone for temporal artery biopsy (TAB) proven GCA and developed central haziness OD > OS. Visual acuity worsened to 20/100 OD and 20/25 OS. Clinical exam, optical coherence tomography (OCT) and fluorescein angiography (FA) revealed central serous chorioretinopathy (CSCR). The patient was treated with focal laser therapy for CSCR and steroid taper. Patients with giant cell arteritis on high dose steroids may present with significant loss of visual acuity and field. CSCR (precipitated by steroids) should be considered in the differential diagnosis as increasing the steroid dose for presumed visual loss secondary to GCA might worsen rather than improve the visual outcome.
Vinay A Shah; Sandeep Randhawa; H Culver Boldt; Andrew G Lee
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Seminars in ophthalmology     Volume:  21     ISSN:  0882-0538     ISO Abbreviation:  Semin Ophthalmol     Publication Date:    2006 Jan-Mar
Date Detail:
Created Date:  2006-03-06     Completed Date:  2006-05-30     Revised Date:  2008-05-28    
Medline Journal Info:
Nlm Unique ID:  8610759     Medline TA:  Semin Ophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  45-8     Citation Subset:  IM    
University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242-1091, USA.
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MeSH Terms
Choroid Diseases / diagnosis,  etiology*,  therapy
Diagnosis, Differential
Fluorescein Angiography
Fundus Oculi
Giant Cell Arteritis / complications*,  pathology
Glucocorticoids / therapeutic use
Laser Coagulation
Middle Aged
Prednisone / therapeutic use
Retinal Diseases / diagnosis,  etiology*,  therapy
Temporal Arteries / pathology
Tomography, Optical Coherence
Visual Acuity
Reg. No./Substance:
0/Glucocorticoids; 53-03-2/Prednisone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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