Bevis Timothy, Ratnakaram Ramakrishna, Smith M Fran, Bhatti M Tariq
Department of Ophthalmology, University of Florida College of Medicine, Gainesville, Florida, USA.
Clin Exp Ophthalmol. 2005 Aug;33(4):437-9. doi: 10.1111/j.1442-9071.2005.01017.x.
Giant cell arteritis (GCA) can be a devastating disease resulting in blindness if not promptly diagnosed and treated. The only proven treatment for GCA is systemic corticosteroids; however, there are many side-effects associated with this therapy including ocular side-effects such as ocular hypertension, cataract formation and central serous chorioretinopathy. To raise physician awareness, a patient with biopsy-proven GCA is reported who lost vision during corticosteroid therapy because of central serous chorioretinopathy.
巨细胞动脉炎（GCA）若不及时诊断和治疗，可能会成为一种导致失明的严重疾病。GCA唯一经证实有效的治疗方法是全身使用皮质类固醇；然而，这种疗法会带来许多副作用，包括眼部副作用，如眼压升高、白内障形成和中心性浆液性脉络膜视网膜病变。为提高医生的认识，本文报告了一名经活检证实患有GCA的患者，该患者在皮质类固醇治疗期间因中心性浆液性脉络膜视网膜病变而失明。
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