Boschi A, Vliers S, Lefebvre C
Service d'Ophtalmologie, Cliniques Universitaries St. Luc, UCL, Bruxelles.
Bull Soc Belge Ophtalmol. 1995;259:189-95.
Giant-cell arteritis is a polysymptomatic disease of the elderly. We report 2 patients, with positive temporal artery biopsy for giant-cell arteritis and unusual ocular manifestations. The first patient present an unilateral, acute ischaemic ocular and orbital syndrome partially cortico-resistant. The second one present a right Horner syndrome appeared several months after an important malaise, weights loss and pharyngeal and maxillary pain which had been successfully treated with antibiotics and non steroid anti-inflammatory drugs. We discuss the diagnostic and therapeutic management of giant-cell arteritis in our patients, with a review of the literature.