RESUMO
Giant cell arteritis (GCA) is an inflammatory vasculitis of unknown etiology that mainly involves large and medium arteries, particularly the cranial branches of the aorta. GCA with consecutive arteritic-anterior ischemic optic neuropathy (A-AION) has rarely been diagnosed in Romania. Recently, we encountered an 83-year-old patient who presented with left eye visual impairment and corresponding optic disc diffusely swollen and pale. He also had typical manifestations of GCA, such as malaise, and temporal headache, and a highly elevated erythrocyte sedimentation rate and C-reactive protein level. Biopsy of his left superficial temporal artery revealed a granulomatous inflammation with multinucleated giant cell infiltration, so he was diagnosed with GCA with consecutive left A-AION. Because without treatment, this affection usually progresses very rapidly, the patient was promptly treated with an adequate dosage of steroids, which was essential to save the visual function of both eyes. Our case report confirms the potential of visual recovery after prompt corticosteroid treatment in GCA with eye involvement.
Assuntos
Arterite de Células Gigantes/complicações , Neuropatia Óptica Isquêmica/complicações , Idoso de 80 Anos ou mais , Fundo de Olho , Humanos , Masculino , Disco Óptico/patologia , Tomografia de Coerência Óptica , Testes de Campo VisualRESUMO
We present a case of Retinitis Pigmentosa with atypical aspect of fundus (Punctata Albescens), associated with Cystoid Macular Oedema and Optic Disc Drusen.
Assuntos
Edema Macular/diagnóstico , Drusas do Disco Óptico/diagnóstico , Retinose Pigmentar/diagnóstico , Adulto , Antioxidantes/uso terapêutico , Inibidores da Anidrase Carbônica/uso terapêutico , Diagnóstico Diferencial , Progressão da Doença , Quimioterapia Combinada , Eletrorretinografia/métodos , Feminino , Humanos , Edema Macular/complicações , Edema Macular/tratamento farmacológico , Drusas do Disco Óptico/complicações , Drusas do Disco Óptico/tratamento farmacológico , Retinose Pigmentar/complicações , Retinose Pigmentar/tratamento farmacológico , Índice de Gravidade de Doença , Tomografia de Coerência Óptica , Resultado do Tratamento , Ultrassonografia , Testes de Campo VisualRESUMO
Objective: To report a case of Pseudo-Foster Kennedy (PFK) syndrome and describe its clinical and paraclinical particularities, as well as the diagnostic difficulties and established treatment. Methods: The case of a 60-year-old male patient with sudden, painless visual impairment in the left eye (LE), and a medical history of old optic nerve atrophy in his right eye (RE) was described. Results: The diagnosis of nonarteritic anterior ischemic optic neuropathy (NAION) was established based on the medical history, local and general clinical and paraclinical examination, and temporal artery biopsy. Conclusions: Although there is no current generally accepted treatment for NAION, a correct diagnosis and supportive treatment may contribute to the improvement in visual acuity (VA), improvement that in this case remained stable for 6 months after the onset. The patient is still being monitored and no relapses have been noted.
