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Takayasu arteritis-related photic and postprandial amaurosis
Sze H Wong1, Roger E Turbin1, Larry P Frohman1
1Institute of Ophthalmology & Visual Science, Rutgers New Jersey Medical School, Newark.
Abstract:
We report the case of a 66-year-old man with Takayasu arteritis who developed photic and postprandial amaurosis occurring at a corticosteroid dose <40 mg per day, despite concurrent methotrexate. The amaurosis resolved with correction of anemia by packed red blood cell transfusion. Marginal retinal perfusion in Takayasu arteritis may precipitate symptomatic hypoxia as a result of eating a meal or exposing the eye to bright lights. Correction of anemia improves oxygen delivery to the hypoxic retina and relieves recurrent amaurosis.
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