title: Dramatic resolution of extreme ocular ischemia in a case of Takayasu's arteritis.
abstract: 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.
authors: Retina Division, Jules Stein Eye Institute, Department of Ophthalmology, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA.
authors: Darin R
authors: DR
authors: Goldman
authors: Pradeep S
authors: PS
authors: Prasad
authors: Steven D
authors: SD
authors: Schwartz
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass; D005260:Female; D005451:Fluorescein Angiography; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D021621:Imaging, Three-Dimensional; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*; D018810:Magnetic Resonance Angiography; D008775:Methylprednisolone / Q000627:therapeutic use; D012171:Retinal Vessels / Q000503:physiopathology*; D013625:Takayasu Arteritis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity / Q000502:physiology
chemical_list: D005938:Glucocorticoids; D008775:Methylprednisolone