Abstract

Giant cells arteritis (GCA) is the most common form of systemic vasculitis in adults. It is potentially blinding diseases, which needs immediate diagnosis and treatment. The most common ocular manifestation that ophthalmologist see in their practice are visual loss (97.7%), amaurosis fugax (30.6%), diplopia (5.9%). Arteritic anterior ischemic optic neuropathy is the most common cause of blindness in GCA by (81.2%), followed by central retinal artery occlusion (14.1%), and cilioretinal artery occlusion (21.8%) [1].

We will discuss in this article two confirmed GCA cases with uncommon ocular presentation. Namely, Ocular hypotony and isolated cotton wool spots.

Aim: To withdraw the attention of ophthalmologist that uncommon ocular manifestation of Giant cell arteritis is not rare. It might be isolated or associated with Anterior ischemic optic neuropathy. Urgent action may prevent severe visual loss.

Keywords: Giant Cells Arteritis (GCA); Arteritic Anterior Ischemic Optic Neuropathy; Giant Cell Arteritis

References

1. Singh Hayreha., et al. “Ocular manifestations of giant cell arteritis”. American Journal of Ophthalmology 4 (1998): 509-520.
2. T M Radda., et al. “Acute ocular hypotony. A rare complication of temporal arteritis”. Ophthalmologica 3 (1981): 148-152.
3. Ruth Huna-Baron., et al. “Intraocular pressure is low in eyes with giant cell arteritis”. Journal of Neuro-Ophthalmology 4 (2006): 273-275.
4. Nancy S Melberg., et al. “Cotton-wool Spots and the Early Diagnosis of Giant Cell Arteritis 102.11(1995): 1611-1614.
5. Radda TM., et al. “Acute ocular hypotony: a rare complication of temporal arteritis”. Ophthalmologica 182 (1981): 148-152.
6. Levine Stuart M and Hellmann David B. “Giant cell arteritis”. Current Opinion in Rheumatology1 (2002): 3-10.

Citation

Citation: Haya Razzouk and Nadia Chaudhry. “Uncommon but not Rare Ocular Manifestation of Giant Cell Arteritis".Acta Scientific Ophthalmology 4.11 (2021): 39-41.

Copyright

Copyright: © 2021 Haya Razzouk and Nadia Chaudhry. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.