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Case Reports
. 1996 Nov-Dec;41(3):261-7.
doi: 10.1016/s0039-6257(96)80029-4.

Acute unilateral visual loss in the elderly due to retrobulbar optic neuropathy

M L Slavin  1 , D A Liebergall
Affiliations
Case Reports

Acute unilateral visual loss in the elderly due to retrobulbar optic neuropathy

M L Slavin et al. Surv Ophthalmol. 1996 Nov-Dec.

Abstract

A 61-year-old man developed fever and a urinary tract infection followed five days later by acute visual loss in the right eye. Funduscopic examination was normal. A retrobulbar optic neuropathy was diagnosed but careful consideration was given to choroidal ischemia as an etiology. A sphenoidal mucocele was found on emergent MRI scan and drained expeditiously, with marked improvement in visual function. The diagnosis of giant cell arteritis should always be entertained when dealing with visual loss in the elderly.

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