Neovascular Glaucoma in Takayasu’s Disease: A Case Report

Karwatowski, W S S; Jampol, Lee M.; Mani, Hamid; Weinreb, Robert N.

doi:10.1097/00006982-199515040-00014

Cited by 8 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It has been suggested that this could result from the hyposecretion of aqueous humor, caused by the reduced blood flow reaching the ciliary body [1,4]. In our case, IOP was 10 mmHg, similar to that described in the context of advanced stage retinopathy.…”

Section: Discussionsupporting

confidence: 84%

See 1 more Smart Citation

Takayasu’s retinopathy

Elizalde

Capella

2011

Int Ophthalmol

View full text Add to dashboard Cite

We report the case of a 63-year-old woman with Takayasu's arteritis who experienced progressive visual loss in her right eye (RE) over several months. Visual acuity was 0.4 in the RE, which showed marked retinal arteriovenous dilation and highly irregular arteriolar calibre. She had no light perception in the left eye, which showed diffuse atrophy of the retinal pigment epithelium and prepapillary fibrovascular proliferation. Fluorescein angiography revealed delayed and slow retinal and choroidal circulation and areas of peripheral ischemia. A diagnosis of Takayasu's retinopathy was made and the non-perfused areas were treated with laser photocoagulation. Takayasu's disease can result in chronic ocular ischemia. Angiographic examination is particularly important in this context and may provide additional findings which affect staging and treatment of the disease. The role of the ophthalmologist includes laser photocoagulation, monitoring for complications and timely referral for vascular surgery.

show abstract

Section: Discussionsupporting

confidence: 84%

“…Although neovascular glaucoma has been described in the context of proliferative retinopathy [4], the IOP of these patients tends to decrease as the disease progresses. It has been suggested that this could result from the hyposecretion of aqueous humor, caused by the reduced blood flow reaching the ciliary body [1,4].…”

Section: Discussionmentioning

confidence: 99%

Takayasu’s retinopathy

Elizalde

Capella

2011

Int Ophthalmol

View full text Add to dashboard Cite

show abstract

“…4 , 5 Although neovascular glaucoma is said to be a known complication in TA, only one documented case has been previously described. 6 We report an atypical case of neovascular glaucoma occurring after arterial reconstructive surgery in a patient with previous normotensive Takayasu's retinopathy. In this case, treatment with pametinal photocoagulation prior to surgery could not prevent development of neovascular glaucoma.…”

Section: Sirmentioning

confidence: 96%

Neovascular glaucoma after bypass surgery in Takayasu's disease

Miléa

Cassoux

LeHoang

et al. 1999

Eye

View full text Add to dashboard Cite

“…Because of progress in diagnostic imaging and treatment, patients suffering from these serious symptoms are rare these days. 19 Karwatowski et al 41 reported that in Takayasu disease, intraocular pressure rarely increases despite the development of either rubeosis of the iris or a chamber angle secondary to retinopathy. Central retinal artery occlusion and ischemic optic neuropathy are reported as complications not caused by neovascularization.…”

Section: Other Ophthalmic Abnormalitiesmentioning

confidence: 99%

Takayasu disease on the centenary of its discovery

et al. 2009

View full text Add to dashboard Cite

Takayasu disease was first reported in 1908 by Mikito Takayasu as "a case of peculiar changes in the central retinal vessels." Because in these patients the pulse of the radial artery is impalpable, investigations focusing on the ischemic symptoms of the upper body were conducted. In 1948, Shimizu and Sano named this pathological condition "pulseless disease." Since then, the lesions of Takayasu disease have been detected not only in the aortic arch and its main branches but also in various vessels, including the abdominal aorta and renal arteries. The ocular symptoms of Takayasu disease are considered to be due to ischemia in the retina and choroid. The typical wreath-like arteriovenous anastomosis around the disc reported by Takayasu is observed at a relatively late stage of the disease. The characteristic fundus findings of Takayasu disease include tortuosity and dilatation of the central retinal artery and vein, retinal arteriovenous anastomosis, prominent retinal vasculature, microaneurysms in the capillaries, occlusion of retinal arterioles, soft exudate, choked disc, and optic atrophy. Fluorescein angiography reveals retinal microaneurysms, sludging, slower blood flow, dilatation of retinal vessels, leakage of fluorescence dye due to increased vascular permeability, and arteriovenous anastomosis. Arteriovenous anastomosis initially appears in the periphery at the early stage, and in the arteriovenous crossing at the advanced stage. Systemic administration of corticosteroids is required to prevent vascular stenosis during the early stages of Takayasu disease. Reconstruction of the carotid artery may improve subjective symptoms and fundus findings.

show abstract

Neovascular Glaucoma in Takayasu’s Disease: A Case Report

Cited by 8 publications

References 0 publications

Takayasu’s retinopathy

Takayasu’s retinopathy

Neovascular glaucoma after bypass surgery in Takayasu's disease

Takayasu disease on the centenary of its discovery

Contact Info

Product

Resources

About