A patient with GCA may present with which ocular symptom?

Giant Cell Arteritis (GCA), also known as temporal arteritis, is an inflammatory condition that can have significant ocular complications. One of the critical aspects of GCA is its potential to affect the ophthalmic artery, which supplies the eye, leading to a variety of ocular symptoms.

Double vision can occur due to involvement of the cranial nerves that innervate the extraocular muscles, leading to diplopia. This can happen when there is ischemia to the nerves or the muscles themselves.

Photophobia, or sensitivity to light, can arise in GCA cases as the condition may cause anterior uveitis or other forms of ocular inflammation, rendering the eye more sensitive to light.

Peripheral vision loss can develop if there is ischemic optic neuropathy, a serious complication of GCA where the blood supply to the optic nerve head is compromised, leading to vision loss in the periphery.

Given that GCA can manifest with all of these symptoms due to its direct impact on the structures of the eye and surrounding tissues, the inclusion of all these potential ocular symptoms in the correct answer is appropriate. This reflects the multifaceted nature of the condition and its effects on the visual system.