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Retinal findings in Takayasu's arteritis
E Z Karam1, R Muci-Mendoza, T R Hedges
1The New England Eye Center, Tufts University School of Medicine, Boston, Massachusetts, USA.
Acta Ophthalmologica Scandinavica
|May 13, 1999
Summary
Takayasu's disease, a form of pulseless disease, can cause various retinal issues. Unusual ocular findings include cotton wool spots, ischemic optic neuropathy, and retinal emboli.
Area of Science:
- Ophthalmology
- Vascular Neurology
Background:
- Takayasu's disease is a rare, chronic inflammatory condition affecting large arteries, primarily the aorta and its branches.
- Ocular manifestations are common but varied in patients with Takayasu's disease.
Observation:
- This study evaluated eight patients diagnosed with Takayasu's disease.
- Ophthalmic findings and clinical progression were systematically documented.
Findings:
- Typical retinal findings included venous congestion, capillary abnormalities, and arteriovenous shunting.
- Unusual ocular manifestations observed were cotton wool spots, anterior ischemic optic neuropathy, and retinal emboli.
- Visual loss and changes in head posture were noted in some patients.
Implications:
- Takayasu's disease presents a spectrum of retinal changes, necessitating comprehensive ophthalmologic evaluation.
- Recognizing less common ocular signs can aid in earlier diagnosis and management of Takayasu's disease.