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Arteritic Orbital Ischemia Producing Afferent and Efferent Pupillary Defects.
- Source :
-
Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society [J Neuroophthalmol] 2020 Dec; Vol. 40 (4), pp. 530-532. - Publication Year :
- 2020
-
Abstract
- A 67-year-old woman presented with acute loss of vision to no light perception (NLP), a right afferent pupillary defect, and anisocoria with a nonreactive and dilated pupil in the right eye. Fundus examination showed pallid optic disc edema and a central retinal artery occlusion (CRAO) in the right eye. A temporal artery biopsy showed giant cell arteritis (GCA). Orbital involvement in GCA has been reported previously. However the combination of an afferent and efferent pupillary defect, NLP vision, pallid disc edema, and a CRAO in an elderly patient is likely a unique clinical combination that should strongly suggest GCA. Clinicians should be aware of the myriad presentations of GCA, including orbital ischemia.
- Subjects :
- Aged
Biopsy
Female
Fluorescein Angiography
Fundus Oculi
Giant Cell Arteritis diagnosis
Humans
Pupil Disorders diagnosis
Retinal Artery Occlusion diagnosis
Retinal Artery Occlusion physiopathology
Giant Cell Arteritis complications
Pupil Disorders etiology
Retinal Artery Occlusion complications
Visual Acuity
Subjects
Details
- Language :
- English
- ISSN :
- 1536-5166
- Volume :
- 40
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
- Publication Type :
- Academic Journal
- Accession number :
- 31524841
- Full Text :
- https://doi.org/10.1097/WNO.0000000000000838