A Case of Branch Retinal Artery Occlusion Associated with Takayasu's Arteritis

Published on Aug 1, 2016in Journal of The Korean Ophthalmological Society
· DOI :10.3341/JKOS.2016.57.8.1312
Jae Wan Lim2
Estimated H-index: 2
(Kosin University),
Seung Uk Lee6
Estimated H-index: 6
(Kosin University)
+ 1 AuthorsKi Yup Nam10
Estimated H-index: 10
(Kosin University)
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Abstract
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3 Authors (Rathna Kumar, ..., S. Lohit)
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#1Nicolas NoelH-Index: 24
#2Nathalie ButelH-Index: 2
Last. David SaadounH-Index: 73
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Abstract Objectives To describe the small retinal and systemic vessel involvement in Takayasu's arteritis. Methods We described 3 patients with Takayasu's arteritis and small retinal vessel occlusion seen in our department between 2004 and 2011. We performed an extensive literature review and provided a global analysis of small retinal vessel involvement in Takayasu arteritis (i.e., total number of patients analyzed = 9). Results Seven patients had small retinal artery occlusion, and two had ven...
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#1Ga Yeon Lee (SMC: Samsung Medical Center)H-Index: 15
#2Shin Yi Jang (SMC: Samsung Medical Center)H-Index: 18
Last. Duk-Kyung Kim (SMC: Samsung Medical Center)H-Index: 32
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Abstract Takayasu's arteritis (TA) is primary vasculitis. Cardiac involvements in TA is due to the consequences of the vascular lesions as well as the primary pathology of the heart. The disease activity of TA is known to influence the prognosis of TA. We hypothesized that the cardiovascular involvement of TA is related to the disease activity. We evaluated the cardiovascular manifestations of TA, and we assessed their relation to the disease activity of TA. Two hundred four patients were diagno...
95 CitationsSource
#1Jayanthi Peter (Christian Medical College & Hospital)H-Index: 5
#2Sarada DavidH-Index: 5
Last. George JosephH-Index: 29
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Abstract To detail the spectrum of eye manifestations in Takayasu arteritis and factors predisposing to its development. In this cross-sectional study, 61 patients with proven Takayasu arteritis who were identified during a 16-month period were evaluated for disease- and treatment-related eye manifestations. A fundus fluorescein angiography examination was performed where indicated and with the patients consent. The mean (±standard deviation) duration of illness before ophthalmic evaluation was ...
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#1Vishal V RamtekeH-Index: 3
#2Yojana A GokhaleH-Index: 1
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Sudden painless loss of vision is an ophthalmologic and a medical emergency resulting from various causes such as occlusion of retinal artery or vein, macular or vitreous haemorrhages, retinal detachment, and anterior and posterior ischaemic optic neuropathy. We report a 48-year-old woman presenting with right monocular blindness due to branch retinal artery occlusion whose vision recovered due to timely paracentesis coupled with treatment with adequate antiplatelet agents and anticoagulants. Th...
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#1Haner Direskeneli (Marmara University)H-Index: 57
#2Sibel Zehra AydinH-Index: 30
Last. Peter A. MerkelH-Index: 92
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Takayasu's arteritis (TA) is a rare, chronic panarteritis of the aorta and its major branches presenting commonly in young ages. Physical examination findings, presence of constitutional features, elevated acute-phase reactants, and new vessel involvement in imaging are major features of an active disease. However, assessment of disease activity and damage in TA is problematic given the chronic, indolent disease course and lack of specific laboratory and imaging findings. Although CT, MRI, and F...
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#1Justin C. Mason (NIH: National Institutes of Health)H-Index: 62
Takayasu arteritis is associated with considerable morbidity and premature mortality, which could potentially be avoided if this rare granulomatous vasculitis could be diagnosed and treated at an earlier stage. The challenges currently faced in the diagnosis and management of Takayasu arteritis are discussed here, with a focus of the potential utility of noninvasive imaging techniques.
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#1Debabrata Das (R. G. Kar Medical College and Hospital)H-Index: 4
#2Kanchan Kumar Mondal (R. G. Kar Medical College and Hospital)H-Index: 1
Last. Asim Chakrabarti (R. G. Kar Medical College and Hospital)H-Index: 2
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Takayasu's arteritis is a chronic inflammatory disease of the large and medium-sized arteries. It commonly involves the aorta with its branches and the pulmonary arteries. The retinal hemodynamics suggest that the carotid artery involvement causes diminished retinal blood flow. This is the pathogenetic mechanism of Takayasu's retinopathy with characteristic features of microaneurysms, arterio-venous anastomosis and non-perfused retinal areas. Our case presented as branch retinal artery occlusion...
16 CitationsSource
#1Sohan Singh Hayreh (UI: University of Iowa)H-Index: 112
#2Patricia Podhajsky (UI: University of Iowa)H-Index: 27
Last. M. Bridget Zimmerman (UI: University of Iowa)H-Index: 59
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Objective To investigate systematically the various associated systemic and ophthalmic abnormalities in different types of retinal artery occlusion (RAO). Design Cohort study. Participants We included 439 consecutive untreated patients (499 eyes) with RAO first seen in our clinic from 1973 to 2000. Methods At first visit, all patients underwent detailed ophthalmic and medical history, and comprehensive ophthalmic evaluation. Visual evaluation was done by recording visual acuity, using the Snelle...
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#1Sushmita KaushikH-Index: 22
#2Amod GuptaH-Index: 57
Last. Vivek LalH-Index: 18
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Takayasu's arteritis is an auto-immune disorder of the large and medium-sized arteries, commonly involving the heart and its main vessels. It is now recognised that the inflammatory process of the large arteries affects regions of the walls supplied by the vasa vasorum, suggesting that primary small vessel involvement may contribute to the development of the clinico-pathological features of Takayasu aorto-arteritis. Classical ophthalmic features of the disease result from reduced ocular perfusio...
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Nous rapportons un cas d’occlusion de branche veineuse retinienne decouverte chez une patiente de 28 ans, revelatrice d’une maladie de Takayasu. L’examen somatique retrouve une asymetrie de la tension arterielle humerale et un souffle abdominal ; le bilan biologique montre un syndrome inflammatoire et l’aortographie abdominale une stenose majeure de l’artere mesenterique superieure. Trois parmi les six criteres diagnostiques de la maladie de Takayasu sont presents chez notre patiente. Elle est l...
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