[Ischemic retinopathy in Takayasu disease].
OBJECTIVE
To evaluate the clinical features and fundus fluorescein angiography findings of Takayasu retinopathy.


METHODS
A retrospective, descriptive study of 11 patients with proven Takayasu arteritis and ischemic retinopathy examined at the Department of Ophthalmology of Rabta hospital (Tunisia). All patients underwent a complete ophthalmic examination and fluorescein angiography. Systemic corticotherapy and immunosuppressive therapy was prescribed in all patients. Green laser photocoagulation was performed in cases with ischemic retinopathy.


RESULTS
The mean follow-up period was 64.2 months (range, 8-82 months). The mean age at diagnosis of ischemic retinopathy was 27.9 years (range, 21-39 years). The male-to-female ratio was 0.1. We observed all stages of Takayasu's retinopathy. The best-corrected visual acuity ranged from 4/10 to 10/10. Clinical improvement was notes in 54.5 of all cases. Blindness occurs in only one case with severe ischemic retinopathy.


CONCLUSIONS
The ischemic retinopathy in Takayasu disease is due to a severe hypoperfusion of the retinal artery. A careful and regular clinical and angiographic monitoring must be performed to prevent blindness.
CHU La Rabta, université Tunis El Manar, faculté de médecine de Tunis, service d'ophtalmologie, Tunis, Tunisie. loukiliness@yahoo.fr
Inès
I
Loukil
Nadia
N
Mallouch
Firas
F
Hachicha
Rim
R
Bhiri
Ahmad
A
Hijazi
Amel
A
Jeddi Blouza
D000328:Adult; D005260:Female; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000175:diagnosis*; D017075:Laser Coagulation; D008297:Male; D012164:Retinal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D012189:Retrospective Studies; D013625:Takayasu Arteritis / Q000150:complications*; D014416:Tunisia; D014792:Visual Acuity; D055815:Young Adult