Lessons of the month 2: Retinal vasculitis: a first presentation of Takayasu's arteritis

Ibrahim, Hagar; D'souza, Shane; Agorogiannis, Eleftherios; Ali, Alia; Bashar, Nada; Pearce, Ian; Madhusudhan, Savita

doi:10.7861/clinmed.2021-0538

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…The most common ocular symptom is vision loss, but it is not unusual that the first symptoms of ocular ischemia are episodes of amaurosis fugax [4, 11]. Occlusive retinal vasculitis or retinal artery occlusions and ischemic optic neuropathy have been reported [7, 12–14]. Cases of episcleritis and scleritis have also been described [15–18].…”

Section: Large Vessel Vasculitismentioning

confidence: 99%

Systemic Vasculitis and Its Association with the Eye

Carreño¹,

Olivas-Vergara²

2023

Ophthalmologica

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Vasculitis are a group of diseases characterize by the inflammation of the blood vessel walls. They are classified according to the size of the main vessel involved: in large vessel, medium vessel, and small vessel vasculitis. Ophthalmic manifestations are quite common in most of these diseases. Being episcleritis and scleritis the most prevalent manifestation of vasculitis. However, there are certain ocular diseases especially characteristic of specific vasculitis entities. Given the severity and potential life-threat of these diseases, knowledge of the ocular manifestations is mandatory for the ophthalmologists.

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Section: Large Vessel Vasculitismentioning

confidence: 99%

Systemic Vasculitis and Its Association with the Eye

Carreño¹,

Olivas-Vergara²

2023

Ophthalmologica

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Ocular Manifestations of Takayasu’s Arteritis—A Case-Based Systematic Review and Meta-Analysis

Szydełko-Paśko

Przeździecka-Dołyk

Nowak

et al. 2023

JCM

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Takayasu’s arteritis (TA) is a type of vasculitis in which inflammation develops in large vessels, especially in the aorta and its branches. Our study aims to determine the prevalence and type of ocular manifestations in TA. A systematic literature search was conducted in December 2022 using three electronic databases (PubMed, Scopus, and Web of Science). The following data were extracted from each article: the name of the first author; the patient’s age, sex, and origin (continent); circumstances connected with the diagnosis of TA; symptoms given by the patients; reported ocular manifestations; and administered treatment. The final analysis was based on data collected from 122 cases. Retinal ischemia, followed by optic neuropathy, cataract, and retinal artery occlusion, were the most prevalent eye conditions associated with the disease. Systemic steroid therapy, vascular procedures, and methotrexate were mainly used to treat pulseless disease. Patients mostly complained of gradual vision acuity loss, sudden vision acuity loss, ocular pain, and amaurosis fugax. The diagnosis of Takayasu’s arteritis should be considered in patients presenting symptoms of visual decline/loss, ocular pain, or signs of retinal ischemia, optic neuropathy, or early cataract formation. A proper diagnosis is crucial to ensure the patient receives treatment without significant delay.

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Lessons of the month 2: Retinal vasculitis: a first presentation of Takayasu's arteritis

Cited by 2 publications

References 10 publications

Systemic Vasculitis and Its Association with the Eye

Systemic Vasculitis and Its Association with the Eye

Ocular Manifestations of Takayasu’s Arteritis—A Case-Based Systematic Review and Meta-Analysis

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