A 75-year-old woman with new onset headaches and left vision loss, temporal scalp tenderness, and jaw claudication was found to have biopsy-proven giant cell arteritis (GCA). Despite treatment and improvement with prednisone, she later developed left orbital apex syndrome, and an orbital biopsy revealed aspergillosis. After antifungal treatment, extraocular motility improved although vision in the left eye remained no light perception. Clinicians should be aware that fungal orbital apex disease may mimic or complicate steroid-treated GCA.

Original languageEnglish (US)
Pages (from-to)159-163
Number of pages5
JournalJournal of Neuro-Ophthalmology
Issue number2
StatePublished - 2016

ASJC Scopus subject areas

  • Ophthalmology
  • Clinical Neurology


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