A Case of Branch Retinal Artery Occlusion Associated with Takayasu's Arteritis

Jae Wan Lim; Seung Uk Lee; Sang Joon Lee; Ki Yup Nam

doi:10.3341/jkos.2016.57.8.1312

Journal List > J Korean Ophthalmol Soc > v.57(8) > 1010378

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Lim, Lee, Lee, and Nam: A Case of Branch Retinal Artery Occlusion Associated with Takayasu's Arteritis

Case Report

J Korean Ophthalmol Soc 2016;57(8):1312-1315.

Published online: 25 September 2016

DOI: https://doi.org/10.3341/jkos.2016.57.8.1312

A Case of Branch Retinal Artery Occlusion Associated with Takayasu's Arteritis

Jae Wan Lim, MD, Seung Uk Lee, MD, PhD, Sang Joon Lee, MD, PhD, Ki Yup Nam, MD, PhD

Department of Ophthalmology, Kosin University College of Medicine, Busan, Korea

Address reprint requests to Ki Yup Nam, MD, PhD Department of Ophthalmology, Kosin University Gospel Hospital, #262 Gamcheon-ro, Seo-gu, Busan 49267, Korea Tel: 82-51-990-6140, Fax: 82-51-990-3026 E-mail: oksnam1231@hanmail.net

Received 25 February 2016 Revised 23 May 2016 Accepted 23 June 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

Takayasu's arteritis generally involves the aorta and its main branch. Various ocular manifestations associated with Takayasu's arteritis have been reported, but branch retinal artery occlusion (BRAO) is very rare. We report a case of BRAO associated with Takayasu's arteritis.

Case summary

A 53-year-old female patient visited out emergency room for an inferior visual field defect of the right eye that had presented 2 hours earlier. Visual acuity was 1.0 in both eyes. There were no abnormalities of the anterior segment or pupil reflex. On fundus examination, superior retinal whitening was observed in her right eye. Through ancillary study including optical coherence tomography and fluorescein angiography, she was diagnosed with BRAO and underwent conservative treatments. She had received previous treatment and had been followed-up for Takayasu's arteritis for 20 years. She complained of general weakness, and body temperature was 38.7°C. On blood analysis, erythrocyte sedimentation rate and C-reactive protein were increased compared to previous levels. She was medically treated on the assumption of relapse of Takayasu's arteritis. After 3 months, the retinal whitening in her right eye was resolved, but the visual field defect remained similar to that at the initial visit.

Conclusions

We report this rare case of BRAO associated with Takayasu's arteritis, indicating the need to consider an association between the two diseases.

Keywords: Branch retinal artery occlusion, Takayasu's arteritis

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Figure 1.

Fundus photography of both eyes and optical coherence tomography of right eye at initial visit. (A) Superior retinal whitening was observed in right eye and multiple retinal hemorrhagic spots and microaneurysms was seen. (B) Superior retinal thickening was observed (white arrowhead).

Figure 2.

Fluorescein angiography of right eye at initial visit. Delay in filling time and arteriovenous transit time of superior retinal arteries was observed and several microaneuryms were also seen.

Figure 3.

Fundus photography and optical coherence tomography of right eye three months later. (A) Superior retinal whitening disappeared and (B) superior retinal thinning was observed at affected region (white arrowhead).

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