Document Detail


Giant cell arteritis in the ocular ischemic syndrome.
MedLine Citation:
PMID:  1598963     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Oculomotor nerve paresis, ocular hypotony, anterior segment ischemia, and the ocular ischemic syndrome are uncommon manifestations of giant cell arteritis. Four patients with these findings had giant cell arteritis documented by temporal artery biopsy. Cerebral angiography or ultrasonography, or both, performed in three patients, excluded hemodynamically significant stenosis of the internal carotid artery as the cause of ocular ischemia and cerebral aneurysms as the cause of oculomotor nerve paresis. Corticosteroid treatment, administered to three patients, resulted in resolution of the oculomotor deficits and the clinical signs of ocular ischemia, although the visual acuity in one patient improved from 20/400 to 20/60. Giant cell arteritis should be considered in the differential diagnosis of the ocular ischemic syndrome.
Authors:
L M Hamed; J R Guy; M L Moster; T Bosley
Related Documents :
18285353 - Is intimal hyperplasia a marker of neuro-ophthalmic complications of giant cell arteritis?
3117443 - Temporal minor slow and sharp eeg activity and cerebrovascular disorder.
17378973 - Use of high-resolution spiral ct for the diagnosis of coronary artery disease.
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of ophthalmology     Volume:  113     ISSN:  0002-9394     ISO Abbreviation:  Am. J. Ophthalmol.     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-07-06     Completed Date:  1992-07-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370500     Medline TA:  Am J Ophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  702-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Ophthalmology, University of Florida College of Medicine, Gainesville 32610-0284.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Carotid Stenosis / complications,  drug therapy
Eye / blood supply*
Female
Giant Cell Arteritis / complications*,  drug therapy
Humans
Ischemia / complications*,  drug therapy
Male
Methylprednisolone / therapeutic use
Syndrome
Uveitis / complications*,  drug therapy
Visual Acuity
Chemical
Reg. No./Substance:
83-43-2/Methylprednisolone

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


Previous Document:  Antibody affinity to retinal S-antigen in patients with retinal vasculitis.
Next Document:  The effect of intracameral ethacrynic acid on the intraocular pressure of living monkeys.