Retinal Vasculitis in Takayasu’s Arteritis- ...Ophthalmologic examination revealed severe impairment, with perception of only light in the right eye and hand motion in the left eye. Slit-lamp examination showed normal anterior segments. Funduscopic evaluation revealed impaired circulation in retinal arteries and veins, and fundus fluorescein angiography showed segmented retinal blood flow (also known as “boxcarring”) (Panel A, and see Video 1). Takayasu’s arteritis is a rare, systemic, large-vessel vasculitis. Impairment of vision is associated with involvement of the carotid and vertebral arteries and their branches that leads to decreased perfusion of the eye. The patient underwent percutaneous endovascular stenting of the common carotid and vertebral arteries and initiated treatment with oral glucocorticoids and azathioprine. At follow-up 4 weeks later, repeat fundus fluorescein angiography showed that the retinal blood flow had improved and was no longer segmented (Panel B, and see Video 2). See source for videos. #NEJM #clinical #radiology #fluorescein #angiography #retinal #vasculitis #takayasus #arteritis #ophth
