AI Article Synopsis
- An 87-year-old woman developed corneal edema a month after cataract surgery, leading to a diagnosis of pseudophakic bullous keratopathy and a planned endothelial transplant.
- Shortly after, she showed symptoms of bilateral corneal edema and significantly reduced vision, which led to a neuro-ophthalmic evaluation.
- The evaluation revealed bilateral ocular ischemic syndrome due to giant cell arteritis, highlighting the need for ophthalmologists to consider corneal decompensation in similar cases.
Article 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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| http://dx.doi.org/10.1016/j.survophthal.2017.06.003 | DOI Listing |
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