Table 6 Visual loss during corticosteroid therapy (prospective studies)
AuthorYearStudy design (cases)nPositive biopsyPatients with visual loss (%)Patients with ocular deterioration during therapy (%)
Birkhead331957Prospective5555 (100%)21 (38%)2 (3.6%)
Palm341958Prospective3113 (21%)31 (100%)4 (12.9%)
Parsons-Smith351958Prospective50 (13 treated)NR13/55; all 13 treated (24%)1 (7.7%)
Russell361959Retrospective (8)35 (21 treated)11 (31%)16/35 with visual symptoms (46%)6 (28.6%)
Prospective (27)
Mosher41959Retrospective32 (18 treated)23 (72%)20 with eye symptoms (62.5%)7 (38.9%)
Whitfield371963Prospective72NR40 (55%)1 (1.4%)
Cullen381967Prospective2525 (100%)25 (100%)1 (4%)
Fauchald391972Prospective9461 (65%)5 ocular symptoms (5%)1 (1.1%)
Hunder401975Prospective6060 (100%)3 (5%)0 (0%)
Bengtsson411981Prospective2717 (63%)NR2 (7.4%)
Jones421981Prospective8522 (26%)6/22 (27%) permanent1 (1.2%)
Behn31983Prospective6825 (37%)10 (15%)0 (0%)
Boesen431987Prospective2111 (52%)NR0 (0%)
Caselli441988Prospective166166 (100%)14 permanent (8.4%)1 (0.6%)
17 transient
8 scotoma
Kyle451989Prospective35NRNR1 (2.9%)
Myles461992Prospective96 TA48/78 (61.5%)NR4/96 (4%)
210 PMRNR3/210 PMR (1.4%)
Aiello471993Prospective245204 (83%)34 (14%)5 (1.6%)
Duhaut481999Prospective292207 (71%)31 (55%)14 (6.8%)
Kupersmith491999Prospective2219 (86%)7 (32%)2 (9%)
Chevalet502000Prospective164128 (78%)NR1 amaurosis (0.6%)
Kupersmith 22001Prospective2020 (100%)4 (20%)0 (0%)
Liozon292001Prospective174147 (85%)48 (28%) visual symptoms;4 (2.3%)
23 (13%) permanent
Danesh-Meyer252005Prospective3434 (100%)34 (100%)(27% of eyes during the first 6 days)
SUM18381296 (70.5%)362 (19.7%)58 (3.1%)
  • GC, Giant cells; NR, not reported; PMR, polymyalgia rheumatica; TA, temporal arteritis.