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A 90 year old woman with painless vision loss
Digital Journal of Ophthalmology 2005
Volume 11, Number 7
February 10, 2005
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Qasim Mansoor | The Lancashire University teaching Hospital UK
Tahir Majeed | The Lancashire University Teaching Hospital UK
Treatment
A diagnosis of ischemic optic neuropathy due to silent giant cell arteritis was made. She was admitted in the hospital and was given high dose of steroids (I/V methyl prednisolone 500mg stat and prednisolone 80mg/day)
Temporal artery biopsy was performed and showed infiltration of the tunica adeventitia with chronic inflammtory infiltrate including giant cells (Fig 2), confirming the diagnosis of giant cell arteritis.
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Figure 2
Arrow points to giant cell.