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Steroid Induced Central Serous Chorioretinopathy in Giant Cell Arteritis
Giant cell arteritis (GCA) is an ophthalmic emergency which requires early diagnosis and treatment with high dose systemic corticosteroids in order to prevent permanent visual loss. However, systemic corticosteroids have significant ocular side effects including cataract formation, raised intraocula...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693111/ https://www.ncbi.nlm.nih.gov/pubmed/23840998 http://dx.doi.org/10.1155/2013/924037 |
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author | Grixti, Andre Kumar, Vineeth |
author_facet | Grixti, Andre Kumar, Vineeth |
author_sort | Grixti, Andre |
collection | PubMed |
description | Giant cell arteritis (GCA) is an ophthalmic emergency which requires early diagnosis and treatment with high dose systemic corticosteroids in order to prevent permanent visual loss. However, systemic corticosteroids have significant ocular side effects including cataract formation, raised intraocular pressure, and less commonly, central serous chorioretinopathy (CSCR). We report a case of visual loss secondary to CSCR complicating corticosteroid therapy in GCA. When assessing patients with systemic conditions such as GCA or other vasculitic process, who complain of visual loss which is getting worse on corticosteroid treatment, clinicians should consider other causes such as CSCR as part of the differential diagnosis. Extra caution should be exercised in such cases as increasing the dose of corticosteroids might aggravate CSCR resulting in further visual loss. |
format | Online Article Text |
id | pubmed-3693111 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-36931112013-07-09 Steroid Induced Central Serous Chorioretinopathy in Giant Cell Arteritis Grixti, Andre Kumar, Vineeth Case Rep Ophthalmol Med Case Report Giant cell arteritis (GCA) is an ophthalmic emergency which requires early diagnosis and treatment with high dose systemic corticosteroids in order to prevent permanent visual loss. However, systemic corticosteroids have significant ocular side effects including cataract formation, raised intraocular pressure, and less commonly, central serous chorioretinopathy (CSCR). We report a case of visual loss secondary to CSCR complicating corticosteroid therapy in GCA. When assessing patients with systemic conditions such as GCA or other vasculitic process, who complain of visual loss which is getting worse on corticosteroid treatment, clinicians should consider other causes such as CSCR as part of the differential diagnosis. Extra caution should be exercised in such cases as increasing the dose of corticosteroids might aggravate CSCR resulting in further visual loss. Hindawi Publishing Corporation 2013 2013-06-11 /pmc/articles/PMC3693111/ /pubmed/23840998 http://dx.doi.org/10.1155/2013/924037 Text en Copyright © 2013 A. Grixti and V. Kumar. https://creativecommons.org/licenses/by/3.0/ 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. |
spellingShingle | Case Report Grixti, Andre Kumar, Vineeth Steroid Induced Central Serous Chorioretinopathy in Giant Cell Arteritis |
title | Steroid Induced Central Serous Chorioretinopathy in Giant Cell Arteritis |
title_full | Steroid Induced Central Serous Chorioretinopathy in Giant Cell Arteritis |
title_fullStr | Steroid Induced Central Serous Chorioretinopathy in Giant Cell Arteritis |
title_full_unstemmed | Steroid Induced Central Serous Chorioretinopathy in Giant Cell Arteritis |
title_short | Steroid Induced Central Serous Chorioretinopathy in Giant Cell Arteritis |
title_sort | steroid induced central serous chorioretinopathy in giant cell arteritis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693111/ https://www.ncbi.nlm.nih.gov/pubmed/23840998 http://dx.doi.org/10.1155/2013/924037 |
work_keys_str_mv | AT grixtiandre steroidinducedcentralserouschorioretinopathyingiantcellarteritis AT kumarvineeth steroidinducedcentralserouschorioretinopathyingiantcellarteritis |