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Case Reports in Ophthalmological Medicine
Volume 2013 (2013), Article ID 597398, 3 pages
http://dx.doi.org/10.1155/2013/597398
Case Report

Giant Cell Arteritis Presenting as Choroidal Infarction

Moorfields Eye Hospital, 162 City Road, London EC1V 2PD, UK

Received 26 January 2013; Accepted 20 February 2013

Academic Editors: A. Ferreras, D. K. Roberts, and M. W. Stewart

Copyright © 2013 Nikolaos Kopsachilis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Giant cell arteritis (GCA) is a systemic granulomatous vasculitis that affects large- and medium-sized arteries of the head and neck. Ocular manifestations of GCA usually are anterior ischaemic optic neuropathy (AION) or retinal vessel occlusion. Case Report. We report an interesting case of a 70-year-old man who presented with sudden vision loss and choroidal infarction in his left eye. Thorough clinical and paraclinical evaluation revealed an underlying GCA, the treatment of which prevented further vision loss and systemic complications. Conclusion. This is an unusual presentation of choroidal infarction associated with CGA and emphasizes the need of thorough systemic evaluation in patients with choroidal infarction.