A CASE OF PSEUDO ARTERITIC ISCHEMIC OPTIC NEUROPATHY

Title A CASE OF PSEUDO ARTERITIC ISCHEMIC OPTIC NEUROPATHY
Author, Co-Author Helene Kaiser, Mark Shust
Topic
Year
1994
Day
Sunday
Program Number
Poster 37
Room
Convention Ctr Exhibit Hall
Affiliation
Abstract This unique case report describes an elderly diabetic woman who presented with an apparent anterior ischemic optic neuropathy in the right eye. An immediate erythrocyte sedimentation rate was highly elevated at 110 mm, suggesting temporal arteritis as the cause. Temporal artery biopsy was unable to be performed. Aggressive steroid therapy was initiated to prevent involvement in the other eye. One week later, the patient was diagnosed with an abdominal abscess which was, in fact, the cause of the elevated erythrocyte sedimentation rate. Temporal arteritis can cause rapid bilateral loss of vision and must be strongly suspected in all elderly individuals with vision loss, especially when the erythrocyte sedimentation rate is elevated. In contrast, however, this case illustrates a peculiar scenario where an unrelated condition created a profile suggestive of temporal arteritis. Additionally, in this case the vision loss was actually due to a nonarteritic AION, probable associated with the diabetes or arteriolosclerosis.
Affiliation of Co-Authors
Outline