Abstract
Takayasu's arteritis (TA) is a chronic inflammatory granulomatous vasculitis which affects large and medium arterial vessels. The disease involves especially subclavian arteries and aortic branches but it can consist of any arteries. The major pathology is granulomatous panarteritis with intima proliferation and defects of the elastic lamina of the vessels. We present a case of central retinal artery occlusion in TA as the first presentation of the disease. To the best of our knowledge, the present case is the first case that demonstrates central retinal artery occlusion as an initial manifestation in TA. A 48-year-old woman was admitted to our clinic with the complaint of sudden and painless vision loss in her right eye for one day. Although retinal artery involvement is a very rare presentation in TA, it is important to recall TA particularly in young patients with retinal artery occlusion.
Highlights
Takayasu’s arteritis (TA) is a chronic inflammatory granulomatous vasculitis which influences large and medium arterial vessels
We present a case of central retinal artery occlusion in TA as the first presentation of the disease
After 3 years, in ophthalmologic examination, there was no light perception in the right eye and best corrected visual acuity (BCVA) was 20/20 in the left eye
Summary
Takayasu’s arteritis (TA) is a chronic inflammatory granulomatous vasculitis which influences large and medium arterial vessels. It is an unusual and idiopathic disease that affects aorta and its branches and causes constriction and obliteration [1,2,3]. The clinical presentation is related with the location of the involved artery. Patients with carotid artery involvement encounter decreased retinal perfusion leading to chronic ocular ischemia. We present a case of central retinal artery occlusion in TA as the first presentation of the disease. To the best of our knowledge, the present case is the first case that demonstrates central retinal artery occlusion as an initial manifestation in TA
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