O

13.3 DisordersthatObscuretheMarginoftheOpticDisk 379 — Prominent temporal arteries in temporal arteritis. -

Differential diagnosis: Arteriosclerotic AION should be considered.

Treatment: Immediate high-dosage systemic steroid therapy (initial doses up to 1000 mg of intravenous prednisone) is indicated. Steroids are reduced as the erythrocyte sedimentation rate decreases, C-reactive protein levels drop, and clinical symptoms abate. However, a maintenance dose will be required for several months. Vascular treatment such as pentoxifylline infusions may be attempted.

H High-dosage systemic steroid therapy (for example 250 mg of intravenous prednisone) is indicated to protect the fellow eye even if a giant cell arteritis is only suspected.

Prognosis: The prognosis for the affected eye is poor even where therapy is initiated early. Immediate steroid therapy is absolutely indicated because in approximately 75% of all cases the fellow eye is affected within a few hours and cerebral arteries may also be at risk.

Stretch Marks

Stretch Marks

Stretch Marks Prevention and Treatment. Learn What Exactly Are Stretch Marks And How Can They Be Treated. MP3 Audio included for your PC or IPod.

Get My Free Ebook and Audio


Post a comment