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Lynn K. Gordon, MD, PhD; Leonard A. Levin, MD, PhD

JAMA. 1998;280:385-386.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

VISUAL LOSS is one of the most serious sequelae of giant cell (temporal) arteritis (GCA), a systemic vasculitis of medium and large arteries. GCA primarily affects individuals aged 55 years or older; the annual incidence of GCA is approximately 18 per 100000 persons aged 50 years or older.¹ Permanent visual loss occurs in an estimated 15% to 20% of patients with GCA.² The visual loss associated with GCA usually results from ischemic infarction of the optic nerve or retina^3-4 secondary to the vasculitic involvement of the posterior ciliary or central retinal arteries, respectively.⁴ Patients with GCA may complain of a stuttering quality to their vision, an area of visual distortion, or the sudden and permanent loss of all or a portion of the vision in 1 or both eyes. In a retrospective study, premonitory visual symptoms occurred in approximately 65% . . . [Full Text of this Article]

Current Concepts in Diagnosis

Treatment

Emerging Concepts in Diagnosis and Pathogenesis

From the Jules Stein Eye Institute, University of California, Los Angeles, and West Los Angeles Veterans Affairs Hospital (Dr Gordon), and Department of Ophthalmology and Visual Sciences, University of Wisconsin Medical School, Madison (Dr Levin).

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