Bilateral ocular ischemic syndrome secondary to giant cell arteritis progressing despite corticosteroid treatment

Academic Article


  • PURPOSE: To report the development of a bilateral ocular ischemic syndrome despite corticosteroid treatment in a patient with giant cell arteritis. METHOD: Case report. RESULTS: Despite receiving high-dose intravenous methylprednisolone and oral prednisone for biopsy-proven giant cell arteritis that presented as a severe anterior ischemic optic neuropathy in the right eye, a patient developed progressive ocular ischemia in that eye as well as an ocular ischemic syndrome in the fellow eye. CONCLUSIONS: Some patients with giant cell arteritis, possibly patients with other underlying systemic vasculopathies, are refractory to what should be adequate treatment with systemic corticosteroids and may develop a bilateral ocular ischemic syndrome.
  • Published In

    Digital Object Identifier (doi)

    Pubmed Id

  • 20966410
  • Author List

  • Hwang JM; Girkin CA; Perry JD; Lai JC; Miller NR; Hellmann DB
  • Start Page

  • 102
  • End Page

  • 104
  • Volume

  • 127
  • Issue

  • 1