A Case Report of Takayasu's Arteritis with Traction Retinal Detachment.
10.3341/jkos.2017.58.5.600
- Author:
Ga In LEE
1
;
Kunho BAE
;
Jong Min KIM
;
Se Woong KANG
Author Information
1. Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. kangsewoong@gmail.com
- Publication Type:Case Report
- Keywords:
Retinal ischemia;
Takayasus arteritis;
Traction retinal detachment
- MeSH:
Adrenal Glands;
Bevacizumab;
Cardiology;
Carotid Arteries;
Constriction, Pathologic;
Diabetes Mellitus;
Diagnosis, Differential;
Female;
Follow-Up Studies;
Humans;
Hypertension;
Inflammation;
Iris;
Ischemia;
Ophthalmic Solutions;
Photophobia;
Retinal Detachment*;
Retinaldehyde*;
Takayasu Arteritis*;
Traction*;
Vitrectomy;
Young Adult
- From:Journal of the Korean Ophthalmological Society
2017;58(5):600-605
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a rare case of traction retinal detachment and retinal ischemia in inactive Takayasu's arteritis at ophthalmologic clinic. CASE SUMMARY: A 23-year-old woman presented with a floater, photophobia, and visual loss in her right eye one week prior to visit. She had no other systemic disease, such as diabetes mellitus or hypertension, or previous ophthalmic abnormalities except for a tumor in the adrenal gland. We found bilateral retinal ischemia and traction retinal detachment in the right eye on fundus examination without iris neovascularization. Pars plana vitrectomy, traction removal, endolaser treatment, and intravitreal bevacizumab injection were performed. Steroid eye drops and steroid systemic administration relieved the inflammation. On carotid doppler sonography, we found severe stenosis and thickness of the inner layer in both carotid arteries. We diagnosed the patient with an inactive phase of Takayasu's arteritis, which was conclusively correlated with the clinical features. Vascular anastomosis surgery along with follow-up was proposed by both the cardiology and vascular surgery departments. CONCLUSIONS: When a young patient presents with traction retinal detachment and retinal ischemia, Takayasu's arteritis should be considered for differential diagnosis and a systemic work-up should be performed as soon as possible.
