Sudden-onset unilateral painless vision loss

Guneet Sodhi; Rusdeep Mundae; Michael S Lee; Doran B Spencer; Peter H Tang

doi:10.1016/j.survophthal.2021.10.003

Sudden-onset unilateral painless vision loss

Surv Ophthalmol. 2023 Jan-Feb;68(1):142-145. doi: 10.1016/j.survophthal.2021.10.003. Epub 2021 Oct 8.

Authors

Guneet Sodhi¹, Rusdeep Mundae², Michael S Lee², Doran B Spencer³, Peter H Tang⁴

Affiliations

¹ Vitreoretinal Surgery (VRS), P.L.L.C., Edina, MN, USA.
² Department of Ophthalmology and Visual Neurosciences, University of Minnesota Medical School, Minneapolis, MN, USA.
³ Department of Ophthalmology, Shiley Eye Institute, University of California San Diego, San Diego, CA, USA.
⁴ Vitreoretinal Surgery (VRS), P.L.L.C., Edina, MN, USA; Department of Ophthalmology and Visual Neurosciences, University of Minnesota Medical School, Minneapolis, MN, USA. Electronic address: [email protected].

PMID: 34634290
DOI: 10.1016/j.survophthal.2021.10.003

Abstract

A 75-year-old Caucasian woman presented with sudden-onset multifocal scotomas in her right eye's central vision for 1 day. There were subtle white intraretinal foveal lesions that correlated with patchy inner retinal hyperreflectivity on optical coherence tomography, suggestive of paracentral acute middle maculopathy. Initial cerebrovascular work-up was negative. Review of systems was positive for lethargy and jaw claudication. The sedimentation rate and c-reactive protein were elevated, but platelet count was normal. The patient was started on 60 mg oral prednisone daily and underwent bilateral temporal artery that confirmed the diagnosis of giant cell arteritis.

Keywords: Giant cell arteritis; Inflammatory markers; Optical coherence tomography; Paracentral acute middle maculopathy; Temporal artery biopsy; corticosteroids.

Publication types

Case Reports

MeSH terms

Aged
Female
Fluorescein Angiography / methods
Giant Cell Arteritis* / complications
Giant Cell Arteritis* / diagnosis
Humans
Retina
Retinal Diseases* / diagnosis
Temporal Arteries / pathology
Tomography, Optical Coherence / methods