A 71-year-old African American woman presented with severe vision loss in her left eye one day following trabeculectomy with mitomycin C and retrobulbar anesthesia. She had a new left relative afferent pupillary defect and macular whitening. The optic disc appeared normal. Intraocular pressure and fluorescein angiography were normal. Westergren erythrocyte sedimentation rate and C-reactive protein were elevated. Temporal artery biopsy was positive for giant cell arteritis.
Bibliographical noteFunding Information:
The authors reported no proprietary or commercial interest in any product mentioned or concept discussed in this article. The manuscript was supported by unrestricted grant from Research to Prevent Blindness, New York, NY, and the Lions Club of Minnesota.
Copyright 2011 Elsevier B.V., All rights reserved.
- central retinal artery occlusion
- giant cell arteritis
- ischemic optic neuropathy
- postoperative vision loss