Vasculitis & polymyalgia rheumatica

Assessment of Giant Cell Arteritis–Associated Visual Outcomes at a Tertiary Hospital in Ontario, Canada

J RheumatolPublished Retrospective cohort study

Main finding · Visual improvement after treatment (GCAVCs)Result — go to the resultAdjusted odds ratio 0.43-1.72 95% CI 0.02–123.68

Authors' conclusion

GCAVCs are common and frequently associated with permanent vision loss. Although the precision of our results was limited by sample size, we did not find evidence that receiving IV GCs before oral GCs was associated with visual improvement in GCAVCs.

Study context

Population
Individuals aged ≥ 50 years with giant cell arteritis (GCA) (ICD-10 code, verified, supported by histologic, radiographic and/or biochemical evidence) and a healthcare visit Nov 2017–Dec 2023, tertiary facility in Ontario, Canada77 with GCAVCs
Participants
289 individuals
Exposure
Intravenous (IV) vs oral glucocorticoids (GCs) as first GC exposure in GCA-associated vision changes
Outcome
Reported visual improvement after treatment
Methodological detailssingle-centre (tertiary healthcare facility), logistic regression adjusted for demographic and disease factors
  • Single-centre (tertiary healthcare facility)
  • Logistic regression adjusted for demographic and disease factors

Main finding

Visual improvement after treatment (GCAVCs)

Adjusted odds ratio

0.43-1.72

95% CI 0.02–123.68

As reported in the abstract

Observational data: associations, not effects.

Further findings

Prevalence of GCAVCs among patients with GCA

Patients with GCAVCs
77 (26.6%)

Outcomes of GCAVCs

GCAVCs leading to permanent vision loss
70.1%
Visual recovery
16%

Original publication

Assessment of Giant Cell Arteritis–Associated Visual Outcomes at a Tertiary Hospital in Ontario, Canada. J Rheumatol. Published 1 September 2025. doi:10.3899/jrheum.2025-0459

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