RESUMEN
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.
Asunto(s)
Arteritis de Células Gigantes/complicaciones , Neuropatía Óptica Isquémica/complicaciones , Anciano de 80 o más Años , Fondo de Ojo , Humanos , Masculino , Disco Óptico/patología , Tomografía de Coherencia Óptica , Pruebas del Campo VisualRESUMEN
We present a case of Retinitis Pigmentosa with atypical aspect of fundus (Punctata Albescens), associated with Cystoid Macular Oedema and Optic Disc Drusen.
Asunto(s)
Edema Macular/diagnóstico , Drusas del Disco Óptico/diagnóstico , Retinitis Pigmentosa/diagnóstico , Adulto , Antioxidantes/uso terapéutico , Inhibidores de Anhidrasa Carbónica/uso terapéutico , Diagnóstico Diferencial , Progresión de la Enfermedad , Quimioterapia Combinada , Electrorretinografía/métodos , Femenino , Humanos , Edema Macular/complicaciones , Edema Macular/tratamiento farmacológico , Drusas del Disco Óptico/complicaciones , Drusas del Disco Óptico/tratamiento farmacológico , Retinitis Pigmentosa/complicaciones , Retinitis Pigmentosa/tratamiento farmacológico , Índice de Severidad de la Enfermedad , Tomografía de Coherencia Óptica , Resultado del Tratamiento , Ultrasonografía , Pruebas del Campo VisualRESUMEN
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.