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Pulsed corticosteroid therapy was effective in a case with temporal arteritis Shinichi Aso 1 , Yukihiro Sato 1 , Hiroyuki Shimada 1 , Akiyuki Kawamura 1 , Mizuo Matsui 1 1Dept of Ophthalmol Nihon Univ Sch of Med pp.271-274
Published Date 1989/2/15
DOI https://doi.org/10.11477/mf.1410210647
  • Abstract
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A 60-year-old male presented with right visual acuity reduced to finger counting. He had suffered from frontal headache, pain and photophobia in the right eye, and transient diplopia since 2 weeks before. Visual acuity started to fail in the right eye since 5 days before. Ophthalmological findings were unconspicuous except the presence of Marcus -Gunn's pupil in the right eye. Mild fever was present with erythrocyte sedimentation rate in-creased to 124 mm per hour. After 10 days treat-ment with 2 mg dexamethasone injected into the Tenon's capsule, the visual acuity decreased to no light perception in the right eye and to 0.04 in the left. Swelling and tenderness of right temporal arteries became obvious. We started treatment with intravenous metylprednisolone, 500 mg the first day, 1,000 mg for the next 3 days, and oral prednisolone 100 mg daily thereafter. On the 10th day of the treatment, the visual acuity improved to 0.8 in the right and 1.2 in the left.

The treatment was free of notable side effects. After tapering and eventual withdrawal of pred-nisolone, the patient obtained final visual acuity of 1.2 each with paracentral scotoma in the right eye.


Copyright © 1989, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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