Clinical Case Database / Category: Patient Management

Sudden painless loss of vision: giant cell arteritis.

Publication details

Sangeetha Govinda Rajoo, Miss Antigoni Koukkoulli, Jaishree Gandhewar
Foundation Years Journal, volume 4, issue 6, p.49 (123Doc Education, London, June 2010)


The following article discusses the clinical presentation, appropriate investigations and the management of giant cell arteritis (GCA). Further, it reviews the social support networks and rehabilitation pathways available for patients with visual loss.

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Sangeetha Govinda Rajoo

Foundation Year 1 Doctor
Queens Hospital Burton
Belvedere Road

Miss Antigoni Koukkoulli

MBBS, MRCSEd Ophthalmology
ST4 Ophthalmology
St James's University Hospital

Jaishree Gandhewar

Consultant Ophthalmologist
Ophthalmology Dept
Queens Hospital Burton


1. J M Calvo-Romero, Giant cell arteritis. Postgrad Med J 2003; 79:511-515
2. SS Hayreh, Anterior ischaemic optic neuropathy Brit. J. Ophthal (1978) 58, 964.
3. M Parikh, N Miller, A Lee et al, Prevalence of a normal C-reactive protein with an elevated erythrocyte sedimentation rate in biopsy proven giant cell arteritis. Ophthal 2006; 113 (10): 1842-1845.
4. R Frearson, T Cassidy, J Newton, Polymyalgia rheumatic and temporal arteritis: evidence and guidelines for diagnosis and management in older people Age and Ageing 2003; 32:370-374.
5. Royal National Institute of Blind People
6. Action for Blind People
7. Directgov
8. Hunder GG, Bloch DA, Michel BA. The American College of Rheumatology 1990 criteria for the classification of giant cell arteritis Arthritis Rheum. 1990 August; 33(8):1122-8.


Conflict Of Interest

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Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts ( The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.