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Published on: March 26, 2020
Central Retinal Artery Occlusion Associated with Takayasu Arteritis
Sehreen Mumtaz1, Claire Wilson2, Prasanna Vibhute3
1Department of Rheumatology, Mayo Clinic Florida, Jacksonville, FL 32224, USA.
Takayasu arteritis, a large vessel vasculitis, can rarely cause central retinal artery occlusion (CRAO). This case series highlights CRAO as a potential, though uncommon, ophthalmic manifestation of Takayasu arteritis.
Area of Science:
- Vascular Medicine
- Ophthalmology
- Rheumatology
Background:
- Takayasu arteritis is a chronic inflammatory disease affecting large arteries, primarily the aorta and its branches.
- Ocular manifestations are infrequent but can significantly impact diagnosis and treatment.
- Central retinal artery occlusion (CRAO) is a rare but serious ophthalmic emergency.
Purpose of the Study:
- To present two cases of central retinal artery occlusion (CRAO) associated with Takayasu arteritis.
- To underscore the importance of considering Takayasu arteritis in the differential diagnosis of CRAO, particularly in arteritic cases.
Main Methods:
- Case report presentation of two patients with CRAO.
- Review of clinical presentation, diagnostic findings, and treatment of associated Takayasu arteritis.
Main Results:
- Both presented cases demonstrated CRAO as a manifestation of Takayasu arteritis.
- The arteritic form of CRAO, linked to inflammatory vasculitis, was observed.
Conclusions:
- Central retinal artery occlusion can be a rare but significant ocular complication of Takayasu arteritis.
- Early recognition and management of Takayasu arteritis are crucial for patients presenting with CRAO.
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