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Thick corneas, large pupils, and a giant problem

Survey of ophthalmology | 18 Jun 2017

F Pellegrini, G Prosdocimo, D Bonsanto and R Foroozan
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. However, a few days later, 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 GCA. Corneal decompensation should be considered as a rare presentation of GCA, that ophthalmologists should suspect in any case of unilateral or bilateral ocular ischemic syndrome.
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Concepts
Eye, Blood vessel, Amaurosis fugax, Visual acuity, Pupil, Cataract, Cornea, Ophthalmology
MeSH headings
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