• Eye · Jan 1996

    Case Reports

    Facial swelling in giant cell (temporal) arteritis.

    • F D Ghanchi, C Weir, and J Dudgeon.
    • Tennent Institute of Ophthalmology, Glasgow, UK.
    • Eye (Lond). 1996 Jan 1; 10 ( Pt 6): 747-9.

    AbstractGiant cell (temporal) arteritis is a systemic vasculitis of the elderly. Facial swelling is a rare manifestation of the arteritic process. Delay in recognition of the condition can result in profound loss of vision. This report describes a biopsy-proven arteritic patient who developed anterior ischaemic optic neuropathy (AION) following facial swelling. Both arteritic AION and facial swelling responded to high-dose steroid treatment. Facial swelling in giant cell (temporal) arteritis could be an indicator of risk of AION. Intravenous steroid treatment can lead to salvation of useful vision.

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