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KMID : 0360220200610111380
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Journal of the Korean Ophthalmological Society
2020 Volume.61 No. 11 p.1380 ~ p.1385
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Bilateral Central Retinal Vein Occlusion in a Patient with Takayasu Arteritis
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Suh Su-Youn
Lee Seung-Min
So Min-Wook
Lee Seung-Geun
Park Sung-Who
Byon Ik-Soo
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Abstract
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Purpose: We report bilateral central retinal vein occlusion in a patient with Takayasu arteritis.
Case summary: A 52-year-old female with hypertension complained of decreased vision in both eyes. The best-corrected visual acuities (BCVAs) were 0.2 in the right eye and 0.15 in the left eye. Fundus examination and optical coherence tomography revealed dilated and tortuous retinal veins, many flame-shaped hemorrhages, and macular edema in both eyes. We diagnosed central retinal vein occlusion in both eyes. Neck ultrasonography and computed tomography/angiography revealed Takayasu arteritis with near-total occlusion of the left common carotid artery, external carotid artery, and subclavian artery. We prescribed oral azathioprine and three monthly intravitreal injections of bevacizumab (Avastin®; Genentech, Inc., South San Francisco, CA, USA, 1.25 mg/0.05 mL). After 6 months of treatment, the retinal hemorrhage and macular edema disappeared and the BCVAs improved to 0.6 in the right and 0.8 in the left eye.
Conclusions: When encountering a case of bilateral central retinal vein occlusion, assessment of systemic vascular occlusive diseases such as Takayasu arteritis may be required.
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KEYWORD
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Bilateral central retinal vein occlusion, Takayasu arteritis
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