Thick corneas,large pupils,and a giant problem |
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Authors: | Francesco Pellegrini Giovanni Prosdocimo Daniela Bonsanto Pernicola Machin Rod Foroozan |
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Institution: | 1. Neuro-Ophthalmology Service, Department of Ophthalmology, “De Gironcoli” Hospital, Conegliano, Treviso, Italy;2. Pathology Unit, AULSS2 Marca Trevigiana, Conegliano Hospital, Conegliano, Treviso, Italy;3. Baylor College of Medicine, Houston, Texas, USA |
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Abstract: | An 87-year-old woman presented 1 month after uneventful cataract surgery with ipsilateral corneal edema. She was diagnosed with pseudophakic bullous keratopathy and scheduled for endothelial transplantation. A few days later, however, she presented with bilateral corneal edema, dilated pupils, and further reduction of visual acuity. Neuro-ophthalmic evaluation disclosed a bilateral ocular ischemic syndrome causing complete visual loss. Temporal artery biopsy was consistent with giant cell arteritis. Corneal decompensation should be considered as a rare presentation of giant cell arteritis, a diagnosis that ophthalmologists should suspect in any case of unilateral or bilateral ocular ischemic syndrome. |
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Keywords: | ocular ischemic syndrome central retina artery occlusion giant cell arteritis ocular hypotony choroidal ischemia corneal edema |
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