• Am. J. Ophthalmol. · Sep 1996

    Case Reports

    Branch retinal artery occlusion as the initial sign of giant cell arteritis.

    • M S Fineman, P J Savino, J L Federman, and R C Eagle.
    • Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107, USA.
    • Am. J. Ophthalmol. 1996 Sep 1; 122 (3): 428-30.

    PurposeTo describe a patient whose initial sign of giant cell arteritis was a branch retinal artery occlusion.MethodsWe examined a 77-year-old woman who developed arteritic anterior ischemic optic neuropathy three weeks after an isolated non-embolic branch retinal artery occlusion occurred in the same eye.ResultsThe diagnosis of giant cell arteritis was confirmed by temporal artery biopsy after the patient was treated with intravenous corticosteroids.ConclusionsAlthough a rare cause of branch retinal vascular occlusion, giant cell arteritis should be considered in the differential diagnosis of a non-embolic branch retinal artery occlusion in elderly patients.

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