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Ocular complications in a case of rheumatic polymyalgia Namie Kobayashi 1,2 , Akira Toi 1,2 , Kentaro Kobayashi 2 , Chikako Kaneko 3 , Teiji Yamamoto 3 1Department of Ophthalmology, Southern Tohoku General Hospital 2Southern Tohoku Eye Clinic 3Department of Neurology, Southern Tohoku General Hospital pp.1126-1131
Published Date 2020/9/15
DOI https://doi.org/10.11477/mf.1410213674
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Abstract Purpose:To report a case of ocular complications caused by rheumatic polymyalgia(PMR).

Case:A 74-year-old female presented with left temporal headache, left face pain, left neck to shoulder pain, and decreased left vision.

Findings and Clinical Course:Corrected visual acuity was 0.4 in the right eye and light perception in the left. Chronic central choroiditis-like findings were present in both fundus. MRI showed a high signal around the binocular optic nerve. The patient was diagnosed with PMR complicated by left optic nerve perineuritis and chronic central retinochoroiditis based on increased blood sedimentation and symptoms. After suteroid pulse therapy, right eye vision remained unchanged and left eye vision improved to 0.03 one month later.

Conclusion:In severe ocular ischemia, it is important to examine systemic diseases such as PMR with giant cell arteritis.


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

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