TY - JOUR
T1 - Seeing the difference
T2 - painless progressive vision loss in a vasculopath
AU - Hepschke, Jenny L.
AU - Masselos, Katherine
AU - Sandbach, Jennifer
AU - Fraser, Clare L.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - A 78-year-old Caucasian man with significant vascular disease reported sudden onset of worsened vision during a routine wound-care appointment for nonhealing necrotic leg ulcers. He described painless blurring of vision with grey scotomas in his right eye, his only well-seeing eye, after trauma to the left eye as a child. He presented with retinal ischemia, a cotton wool spot, and optic nerve swelling. Temporal artery biopsy showed myxoid degeneration and extensive calcium deposition, which also was present on imaging throughout his carotid and vertebral arterial system—the clinical picture of calciphylaxis.
AB - A 78-year-old Caucasian man with significant vascular disease reported sudden onset of worsened vision during a routine wound-care appointment for nonhealing necrotic leg ulcers. He described painless blurring of vision with grey scotomas in his right eye, his only well-seeing eye, after trauma to the left eye as a child. He presented with retinal ischemia, a cotton wool spot, and optic nerve swelling. Temporal artery biopsy showed myxoid degeneration and extensive calcium deposition, which also was present on imaging throughout his carotid and vertebral arterial system—the clinical picture of calciphylaxis.
KW - calciphylaxis
KW - ischemic optic neuropathy
KW - painless vision loss
KW - retinal ischemia
UR - http://www.scopus.com/inward/record.url?scp=85031315766&partnerID=8YFLogxK
U2 - 10.1016/j.survophthal.2017.09.001
DO - 10.1016/j.survophthal.2017.09.001
M3 - Article
C2 - 28923584
AN - SCOPUS:85031315766
VL - 64
SP - 123
EP - 131
JO - Survey of Ophthalmology
JF - Survey of Ophthalmology
SN - 0039-6257
IS - 1
ER -