J Korean Ophthalmol Soc > Volume 57(8); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(8):1312-1315.
DOI: https://doi.org/10.3341/jkos.2016.57.8.1312    Published online August 15, 2016.
A Case of Branch Retinal Artery Occlusion Associated with Takayasu's Arteritis.
Jae Wan Lim, Seung Uk Lee, Sang Joon Lee, Ki Yup Nam
Department of Ophthalmology, Kosin University College of Medicine, Busan, Korea. oksnam1231@hanmail.net
타카야수 동맥염과 동반된 망막분지동맥폐쇄
임재완⋅이승욱⋅이상준⋅남기엽
고신대학교 의과대학 안과학교실
Correspondence:  Ki Yup Nam,
Email: oksnam1231@hanmail.net
Received: 25 February 2016   • Revised: 23 May 2016   • Accepted: 23 June 2016
Abstract
PURPOSE
Takayasu's arteritis generally involves the aorta and its main branch. Various ocular manifestations associated with Takayasu's arteritis have been reported, but branch retinal artery occlusion (BRAO) is very rare. We report a case of BRAO associated with Takayasu's arteritis. CASE SUMMARY: 53-year-old female patient visited out emergency room for an inferior visual field defect of the right eye that had presented 2 hours earlier. Visual acuity was 1.0 in both eyes. There were no abnormalities of the anterior segment or pupil reflex. On fundus examination, superior retinal whitening was observed in her right eye. Through ancillary study including optical coherence tomography and fluorescein angiography, she was diagnosed with BRAO and underwent conservative treatments. She had received previous treatment and had been followed-up for Takayasu's arteritis for 20 years. She complained of general weakness, and body temperature was 38.7℃. On blood analysis, erythrocyte sedimentation rate and C-reactive protein were increased compared to previous levels. She was medically treated on the assumption of relapse of Takayasu's arteritis. After 3 months, the retinal whitening in her right eye was resolved, but the visual field defect remained similar to that at the initial visit. CONCLUSIONS: We report this rare case of BRAO associated with Takayasu's arteritis, indicating the need to consider an association between the two diseases.
Key Words: Branch retinal artery occlusion;Takayasu's arteritis


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