Bilateral anterior ischemic optic neuropathy as a presentation of Takayasu's disease

J Neuroophthalmol. 1997 Sep;17(3):156-61.

Abstract

Takayasu's disease is an arteritis with a predilection for the proximal branches of the aortic arch. Chronic retinal hypoxic changes and ischemic ocular inflammation, resulting from cervical vascular occlusion, have been described extensively. Anterior ischemic optic neuropathy has rarely been reported in this condition, and only in conjunction with other ophthalmic findings. Here we present the case of a patient who developed bilateral anterior ischemic optic neuropathy in the absence of other eye findings, and was subsequently found to have an aortic arch syndrome compatible with Takayasu's disease.

Publication types

  • Case Reports

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use
  • Aorta, Thoracic / diagnostic imaging
  • Aortic Arch Syndromes / diagnostic imaging
  • Aortic Arch Syndromes / drug therapy
  • Aortic Arch Syndromes / etiology
  • Aortography
  • Female
  • Fundus Oculi
  • Humans
  • Magnetic Resonance Imaging
  • Methylprednisolone / therapeutic use
  • Middle Aged
  • Optic Disk / blood supply*
  • Optic Disk / pathology
  • Optic Neuropathy, Ischemic / diagnosis
  • Optic Neuropathy, Ischemic / drug therapy
  • Optic Neuropathy, Ischemic / etiology*
  • Takayasu Arteritis / complications*
  • Takayasu Arteritis / drug therapy

Substances

  • Anti-Inflammatory Agents
  • Methylprednisolone