Indian Journal of Rheumatology (Jan 2020)
Look beyond the eye: A rare case of retinal neovascularization in Takayasu arteritis
Abstract
A young 18-year-old girl presented with gradually painless progressive diminution of vision in the left eye for 4 months. Her best-corrected visual acuity was 6/36 Left eye. Clinical examination showed anterior segment ischemia and extensive peripheral retinal avascularity with neovascularization. Fundus fluorescein angiography confirmed the findings of ischemia with nonperfusion. Systemic evaluation showed feeble upper limb pulses and nonrecordable blood pressure. Computed tomography angiogram showed signs of inflammatory aortitis involving the left common carotid artery. All the findings were consistent with Takayasu arteritis. The patient was treated with systemic immunosuppressant and showed good response to therapy with regression of neovascularization. oculus sinister that is
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