Introduction:We describe a case of temporal arteritis associated with a typical clinical findings, that affected both eyes of the patient with in a 1 month interval.Case report: A 63 years old hypertensive male patient applied to our clinic with complaint of vision loss in his right eye for two weeks. His visual acquity was perception of hand movements in right eye. He did not complain of any associated headache, scalp tenderness, jaw claudication or constitutional symptoms such as weight loss, fever, malaise or sweats. We consulted the patient to internal medicine, rheumotology and hematology departments. His clinical and labaratuary findings were unremarkable except thrombocytosis. Following a presumptive diagnosis of non-arteritic ischemic optic neuropathy, the patient was hospitalized and treated with intravenous 1000mg methylprednisolone for 3 days. After 3 days, oral prednisolone therapy was started 60mg per day. Oral steroid therapy was tapered 10mg with 3 days interval. 1 month later, patient presented with sudden vision loss in his left eye. Fundus examination revealed left optic disc swelling and soft exudates near the optic disc. Conclusion:In people older than 55 years, amaurosis fugax or visual loss, development of an acute ocular ischemic lesion with or without elevated erythrocyte sedimentation rate and systemic symptoms, should raise suspicion for giant cell arteritis. Table 1: Symptoms in Giant Cell Arteritis [3].Category Symptoms 5Symptoms due to involvement of cranial vessels Headache Jaw claudication (pain on chewing) Scalp tenderness Loss of vision Abnormalities of the temporal artery

Supernumerary puncta are uncommon lacrimal anomalies. Besides being a rare condition, it is usually overlooked. In this study, we report 3 cases of supernumerary lacrimal puncta. While two patients presented with epiphora; one patient was asymptomatic. In biomicroscopic examination, two lacrimal puncta on the lower lid were observed. A supernumerary punctum should be considered in patients with excessive tearing. Supernumerary puncta may alter the efficacy of topical medications, therefore, patients need to be informed about this rare anomaly.