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Morbidity  &  Mortality  Conference May 19, 2009 Michele Todman
20/20 OD, NLP OS Photos 12/1/08
Red Free
Anatomy ,[object Object],[object Object]
Mechanism of Vision Loss  in GCA secondary to A-AION ,[object Object],[object Object],[object Object]
Laboratory Data     6.5 505  37.8 135   3.5 103 23 11 0.9 213 12.8 ESR: 67  CRP: 92.9 (0-8 MG/L) Thrombocytosis in patients with biopsy-proven giant cell arteritis.  Foroozan, Danesh-Mayer, Savino et al.  Ophthalmology 2002
FA 18s 21.3s 24.8 31.2s
36.5s 55.4s 6.06m 1.24m
12/3/08 NLP OU
Red Free
Right eye 7.7 seconds, 11.3 seconds, 13.4 seconds, 15.3 seconds
Right eye 17 seconds, 18.8 seconds, 20.8 seconds, 23.2 seconds
Right eye 25.1 seconds, 30.7 seconds, 36 seconds, 39.8 seconds
Right eye 47.8 seconds, 54.3 seconds, 57.2 seconds, 1.04 minutes
Right eye 1.16 minutes Left eye  1.33 minutes, 1.41 minutes, 1.52 minutes
Right eye 3.21 minutes, 6.11 minutes Left eye 3.47 minutes, 6.42 minutes
Right eye 9.35 minutes Left eye 952 minutes
 
 
 
 
 
“ GCA ranks as the prime medical emergency in ophthalmology, there being no disease in which the prevention of blindness depends so much on prompt recognition and early treatment”-Kearns, TP ,[object Object],[object Object],[object Object],[object Object]
ROAD to recovery in A-AION ,[object Object],[object Object],[object Object],[object Object],[object Object]
Visual Improvement with corticosteroid  therapy in giant cell arteritis.  Report of a large study and review of the literature Hayreh et al. 2002 Acta Ophthalmol. Scand. (84 patients with GCA confirmed by TAB over 25 years) ,[object Object],[object Object],[object Object]
Giant cell arteritis: validity and reliability of various diagnostic criteria. Hayreh et al. Am J Ophthalmol 1997  363 patients with TAB- prospective study 22 years 106 positive TAB and 257 Negative TAB ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Visual Deterioration in Giant Cell Arteritis Patients while on High Doses of Corticosteroid Therapy Hayreh et al. 2003 Ophthalmology (144 Patients with GCA confirmed by  TAB data collected over 25 years) ,[object Object],[object Object],[object Object],[object Object],[object Object]

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M&m may09f

Editor's Notes

  1. Morning after presentation
  2. LEFT EYE 18seconds, 21.3 seconds, 24.8 seconds, 31.2 seconds
  3. Left eye 36.5 seconds, 42.8 seconds, 55.4 seconds, 1.24 minutes
  4. Right eye 7.7 seconds, 11.3 seconds, 13.4 seconds, 15.3 seconds
  5. Right eye 17 seconds, 18.8 seconds, 20.8 seconds, 23.2 seconds
  6. Right eye 25.1 seconds, 30.7 seconds, 36 seconds, 39.8 seconds
  7. Right eye 47.8 seconds, 54.3 seconds, 57.2 seconds, 1.04 minutes
  8. Right eye 1.16 minutes Left eye 1.33 minutes 1.41 minutes, 1.52 minutes
  9. Right eye 3.21 minutes, 6.11 minutes Left eye 3.47 minutes , 6.42 minutes
  10. Right eye 9.35 minutes Left eye 952 minutes