Dramatic resolution of extreme ocular ischemia in a case of Takayasu's arteritis

Late-stage Takayasu's arteritis can result in significant ocular ischemic disease from global retinal hypoperfusion. The authors report the case of a 32-year-old woman with known Takayasu's arteritis who presented with severe, late-stage Takayasu's arteritis and prominent retinal findings. The systemic burden of the disease is illustrated using computed tomography angiography and magnetic resonance angiography imaging techniques, and the ophthalmic findings are illustrated in a novel fashion using ultrawide-field imaging. Delayed arm-to-retina circulation time, severe peripheral retinal ischemia, and extensive diffuse angiographic leakage were noted. These dramatic findings resolved completely 5 months after surgical revascularization was performed in combination with medical management.