A case report; takayasu arteritis and cataract surgery

Key Findings & Data:Anterior chamber examination revealed posterior subcapsular cataracts in both eyes and fundus examination revealed vitreo-retinal traction at 12 o'clock in the right eye and argon laser treatment was applied to the area.

💡

Conclusion & Impact:In addition to a routine cardiological examination, ophthalmological follow-up should be carried out in patients with TA.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

A thirty-five years-old female patient with a history of Takayasu arteritis (TA) was examined for loss of vision. Anterior chamber examination revealed posterior subcapsular cataracts in both eyes and fundus examination revealed vitreo-retinal traction at 12 o'clock in the right eye and argon laser treatment was applied to the area. Fundus fluorescein angiography showed that both eyes had diffuse microaneurysm consistent with a microcapillary problem. On the optical coherence tomography, the macular thickness and formation were normal. In addition to a routine cardiological examination, ophthalmological follow-up should be carried out in patients with TA.

Özet

Görme azlığı şikâyeti ile başvuran 35 yaşında bir bayan hastanın öyküsünde Takayasu arteriti olduğu saptandı. Her iki gözde ön segment muayenesinde arka subkapsüler katarakt, fundus muayenesinde sağ gözde saat 12 kadranındaki vitreo-retinal traksiyon alanı saptandı ve bu bölgeye lazer uygulaması yapıldı. Fundus floressein anjiyografide her iki gözde mikrokapiller bozuklukla uyumlu yaygın mikroanevrizma oluşumu görüldü. Optik koherens tomografide maküla kalınlığı ve formasyonu normaldi. Genellikle kardiyovasküler semptomlar ile ortaya çıkan Takayasu arteriti yaygın retinal iskemiye bağlı komplikasyonlar ile beraber olabilir. Düzenli sistemik muayene ile beraber oftalmolojik takip de yapılmalıdır.

🔖

Cite This Article

KOHEN, M. C., TATLIPINAR, S., YALVAÇ, B. I. (2011). A case report; takayasu arteritis and cataract surgery. Glokom Katarakt, Cilt: 6 - Sayı: 2, 126–128. https://ajindex.com/articles/226835

References (1)

Takayasu M.: Case with unusual changes af the central vessels in the retina. Nippon Ganka Gakkai Zasshi. 1908;12:554-556. 2.Kumar G, Kumar A, Menon V.: Ophthalmic manifestations af pulseless disease: a case report. Indian J Ophthalmol. 1995,-43:79-81. 3.EmelyZ, Karam L, Muci-Mendaza R, et a!.: Retinal findings in Takaya-su's arteritis. Ada Ophthalmol Scand. 1999;77:209-213. 4.Conn DL, Hurıder GG, O'Duffy JD.: Vasculitis and related disorders. Ed: Kelly WN. Textbook of Rheumatology, Vol II Philadelphia, Pa:WB Sanders Co. 1993:1094-1096. 5.Uyama M, Asayama K.: Retina! vascular changes İn Takayasu disease (pulseless disease) occurence and evaluation of the lesions. Doc Ophthalmol ProcSer. 1976;9:549-554. 6.Lewis TR, Glaser JS, Schals NJ, et ai.: Pulseless (Takayasu) disease with ophthalmic manifestations. J Clin Neura-Ophthalmol. 1993;13:242-249. 7.Chun YS, Park SJ, Park IK, et al.: The clinical and ocular manifestations of Takayasu Arteritis, Retina. 2001;21:132-140. 8.Koo J, Boldrey EE.: Takayasu's disease. Arch Ophthalmol. 2000;118:858-859. 9.Yılmaz T, Kükner AS, Celebi S, ve ark.: Takayasu Arteriti. Ret-Vit. 2001;10:184-187. 10.Demircan N, Canataroğlu H, Özbek ve ark.: Bir olgu nedeniyle Takayasu hastalığında göz bulguları. Ret-Vİt. 1994;2:309-312. 11.Tanalca T, Shimizu K.: Retinal arteriovenous shunts in Takayasu disease. Ophthalmology. 1987;94:1380-1388. 12.Karakurt A, Güngör O, Şengün A, ve ark.: Takayasu Arteritine bağlı bilateral oküler iskemik sendrom. Ret-Vit. 2006,14:59-62. 13.Çataltepe S, Hoşal BM, Abbasoğlu OE ve ark.: Takayasu arteriti ve katarakt. MN Oftalmol. 2002;9:98-100.