DR.ISHA SHARMA

DR.DAS GOPAL KRUSHNA, DR.PRAMOD KUMAR SAHU, DR. ANKUR SINGH

Abstract

A 27-year-old female diagnosed with Takayasu arteritis, on oral steroids, developed diminution of vision in the left eye. The patient was subjected to routine general examination where she was found to have a differential blood pressure in both the arms. On ophthalmological examination, patient had a vision of 6/6 OD and 6/12 OS. Rest of the anterior segment was unremarkable. The posterior segment revealed a dull foveolar reflex in the left eye for which she was subjected to an OCT Macula and was diagnosed to have central serous chorioretinopathy which was hypothesized to be secondary to steroid treatment for Takayasu arteritis. The patient was observed for a month and as the steroids were tapered, the chorioretinopathy resolved spontaneously.

Takayasu arteritis may manifest in the eye as takayasu retinopathy, ocular ischaemic syndrome, retinal vasculitis, and Anterior ischaemic optic neuropathy. Treatment related complications such as this are rare but should be borne in mind.