anterior ischemic optic neuropathy

Question 1

define?

Answer 1

occurs in giant cell arteritis (affects ophthalmic and temporal arteries)

Question 2

symptoms and signs and complication?

Answer 2

complication: blindness and spread to other eye

sudden painless loss of vision, headache with temporal pain, swollen tender hard temporal artery

RAPD

Question 3

management?

Answer 3

admit
ESR (very high)
biopsy temporal ertery
give IV steroid