Abstract
Bilateral anterior ischemic optic neuropathy and bilateral ocular ischemic syndrome have been rarely reported as initial manifestations of Takayasu’s arteritis (TA). Appearance of ocular symptoms in TA is closely related to extension and severity of involvement of the aorta and its major branches. Here we reported a case of ‘carotid steal syndrome’ secondary to TA in a 45 year old Turkish man, who had severe ocular and brain ischemia, presented initially with symptoms of ocular ischemic syndrome.
References
Nasu T (1963) Pathology of pulseless disease. A systematic study and critical review of twenty-one autopsy cases reported in Japan. Angiology 14:225–242
Tanaka T, Shimizu K (1987) Retinal arteriovenous shunts in Takayasu disease. Ophthalmology 94:1380–1388
Kearns TP, Hollenhorst RW (1963) Venous stasis retinopathy of occlusive disease of the carotid artery. Proc Mayo Clin 38:304–312
Schmidt MH, Fox AJ, Nicolle DA (1997) Bilateral anterior ischemic optic neuropathy as a presentation of Takayasu’s disease. J Neuroophthalmol 17:156–161
Worrall M, Atebara N, Meredith T, Mann ES (2001) Bilateral ocular ischemic syndrome in Takayasu disease. Retina 21:75–76
Kimura H, Masai H, Kashii S (1995) Anterior ischemic optic neuropathy associated with pulseless disease. Ophthalmologica 209:346–348
Malik KP, Kapoor K, Mehta A, Dadeya S, Guliani BP, Aggarwal S, Gupta VS (2002) Bilateral anterior ischaemic optic neuropathy in Takayasu arteritis. Indian J Ophthalmol 50:52–54
Moncada G, Kobayashi Y, Kaneko E, Nishiwaki Y, Kishi Y, Numano F (1998) Subclavian steal syndrome to Takayasu arteritis. Int J Cardiol 66(Suppl 1):S231–S236
Arend WP, Michel BA, Bloch DA, Hunder GG, Calabrese LH, Edworthy SM, Fauci AS, Leavitt RY, Lie JT, Lightfoot RW Jr (1990) The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis. Arthritis Rheum 33:1129–1134
Johnston SL, Lock RJ, Gompels MM (2002) Takayasu arteritis: a review. J Clin Pathol 55:481–486
Chun YS, Park SJ, Park IK, Chung H, Lee J (2001) The clinical and ocular manifestations of Takayasu arteritis. Retina 21:132–140
Slusher MM, Richards CP (2002) Postsurgical alterations in visual acuity, retinal vasculature, and retinal circulation times in Takayasu’s disease. Retina 22:116–117
Edwards KK, Lindsley HB, Lai CW, Van Veldhuizen PJ (1989) Takayasu arteritis presenting as retinal and vertebrobasilar ischemia. J Rheumatol 16:1000–1002
Kerr GS, Hallahan CW, Giordano J, Leavitt RY, Fauci AS, Rottem M, Hoffman GS (1994) Takayasu arteritis. Ann Intern Med 120:919–929
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Koz, O.G., Ates, A., Numan Alp, M. et al. Bilateral ocular ischemic syndrome as an initial manifestation of Takayasu’s arteritis associated with carotid steal syndrome. Rheumatol Int 27, 299–302 (2007). https://doi.org/10.1007/s00296-006-0194-4
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DOI: https://doi.org/10.1007/s00296-006-0194-4