Giant Cell Arteritis: A Cause Lurking Behind Several Common Ocular Diagnoses

Recorded On: 11/22/2017

Giant cell arteritis (GCA) regularly presents to eye care providers. While anterior ischemic optic neuropathy is the most common ocular manifestation of GCA, amaurosis fugax, retinal artery occlusions, cranial nerve palsies, and posterior ischemic optic neuropathy are also sequelae. Early diagnosis and urgent treatment of GCA is required to prevent possible bilateral blindness. Standards of care for the more common etiologies of the ocular manifestations of GCA may not involve the same urgency of intervention. Therefore, optometrists are placed in the difficult situation of determining the likelihood of GCA being the underlying cause of these relatively common ocular diagnoses.

Andrew B Mick, OD, FAAO

Staff Optometrist

Dr. Andrew Mick completed an optometric residency in ocular disease at the Bascom Palmer Eye Institute. He is a Staff Optometrist at the San Francisco VA Medical Center where he is the Director of the optometric residency program. He is an Associate Clinical Professor at the University of California Berkeley School of Optometry and on the faculty of the UCSF Department of Ophthalmology. He currently is the Chair of the Scientific Program Committee of the American Academy Optometry and is on the Editorial Board of their Journal, Optometry and Vision Science. 

Bernard J Dolan, OD, MS, FAAO

Heather Jones, OD, FAAO

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Giant Cell Arteritis: A Cause Lurking Behind Several Common Ocular Diagnoses