Recovery of vision in a 47-year-old man with fulminant giant cell arteritis

J Clin Neuroophthalmol. 1993 Dec;13(4):262-70.


Giant cell arteritis is a systemic necrotizing vasculitis that often causes profound and irreversible visual loss in elderly individuals. We describe a 47-year-old man with fulminant giant cell arteritis whose clinical picture included severe visual loss and several unusual or previously unreported findings. Aggressive treatment with intravenous corticosteroids resulted in a dramatic improvement in the patient's vision. Although no firm conclusions can be drawn from the outcome in a single case, we believe that, in some patients with arteritic ischemic optic neuropathy, aggressive treatment with intravenous corticosteroids may be associated with a better visual prognosis than treatment by the oral route.

Publication types

  • Case Reports

MeSH terms

  • Giant Cell Arteritis / complications
  • Giant Cell Arteritis / drug therapy*
  • Giant Cell Arteritis / pathology
  • Humans
  • Infusions, Intravenous
  • Male
  • Methylprednisolone / therapeutic use
  • Middle Aged
  • Prognosis
  • Temporal Arteries / pathology
  • Vision Disorders / drug therapy*
  • Vision Disorders / etiology
  • Vision Disorders / physiopathology
  • Visual Acuity*
  • Visual Fields


  • Methylprednisolone