The role of vascular ultrasound in managing giant cell arteritis in ophthalmology.
Jared Ching, Sonja Mansfield Smith, Bhaskar Dasgupta, Erika Marie Damato
Survey of Ophthalmology | Published : 2020
Giant cell arteritis is the most common systemic vasculitis in the elderly and is a potentially life-threatening ophthalmic emergency that can result in irreversible blindness. Blindness is most commonly associated with acute onset, irreversible arteritic ischemic optic neuropathy. Without treatment, second eye involvement may occur, resulting in bilateral blindness. Patients with established visual loss are treated with high-dose steroids and generally undergo a temporal artery biopsy to confirm their diagnosis. A significant number of patients are, however, referred for urgent ophthalmology assessment from concerns about "incipient" arteritic ischemic optic neuropathy. Before visual loss, ..View full abstract