Case Report
Year: 2020 | Month: June | Volume: 7 | Issue: 6 | Pages: 360-364
Takayasu Arteritis Presenting as Neovascular Glaucoma: A Rare Case Report
Monika Dahiya1, Mohit Dua2
1Senior Resident, RIO, PGIMS Rohtak
2Assistant Professor, SIC, PGIMS Rohtak
Corresponding Author: Mohit Dua
ABSTRACT
Neovascular glaucoma secondary to bilateral ocular ischemic syndrome has never been reported as an initial presenting manifestation of Takayasu arteritis. We report a case of 38year old male with no known systemic illness presenting with loss of vision and chronic pain in both eyes since 6 months. On examination, patient had BCVA of FCCF with mid dilated and non-reacting pupil in both eyes. His IOP was 28mmHg bilaterally with GAT. Patient had no NVI on slit lamp examination but had NVA on gonioscopy. On fundus examination, patient had neovascularisation of disc (NVD) with sclerosed vessels with severe tessellation in both eyes. On general physical examination, patient had feeble upper limb pulses and normal pulses in the lower limbs with no audible murmur. Blood pressure could not be recorded in upper limb however BP recorded in lower limb was 120/80 mmHg. Carotid Doppler and computed tomogram (CT) angiography revealed complete occluding thrombus in B/L common carotid artery with minimal central flow in internal carotid artery. Patient was diagnosed as a case of NVG with B/L OIS secondary to Takayasu arteritis. This rare manifestation of Takayasu arteritis highlights the role of ophthalmologists in diagnosing a life-threatening condition where a prompt referral can be life saving for the patient.
Keywords: Ocular ischemic syndrome, Neovascular glaucoma, Takayasu arteritis.
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