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Branch retinal artery occlusion as the initial sign of giant cell arteritis
M S Fineman1, P J Savino, J L Federman
1Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Purpose:
To describe a patient whose initial sign of giant cell arteritis was a branch retinal artery occlusion.
Methods:
We 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.
Results:
The diagnosis of giant cell arteritis was confirmed by temporal artery biopsy after the patient was treated with intravenous corticosteroids.
Conclusions:
Although 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.