Unusual ocular manifestation revealing Takayasu´s Arteritis

Abstract

Takayasu´s arteritis is a rare inflammatory vascular disease affecting mostly the aorta and its proximal branches. The diagnosis of TA is a challenge, particularly in its initial phase. Here we report a case of a 20-years-old female presented with painless and sudden vision decrease in the left eye secondary to anterior ischemic optic neuropathy. After systemic examination and Magnetic Resonance Angiography of vessels, the diagnosis of Takayasu´s arteritis was made. She was treated with steroids, Azathioprine, and Tocilizumab. At 3 months of follow-up, there was no improvement in the visual acuity of the left eye and fundus examination showed atrophy of the left optic disc.

Keywords

• takayasu´s arteritis
• anterior ischemic optic neuropathy
• takayasu´s retinopathy