Balaskas K, Potamitou D, Spastri A
Service d'Ophtalmologie, Hôpital Général Archevêque Makarios III, Nicosie, Chypre.
J Fr Ophtalmol. 2010 Jan;33(1):50.e1-3. doi: 10.1016/j.jfo.2009.11.008. Epub 2009 Dec 22.
We report a case of branch retinal artery occlusion in a young woman suffering from established Takayasu arteritis. A 35-year-old woman with a previous history of Takayasu arteritis, diagnosed 5 years before, presented to the emergency department reporting sudden visual loss in her left eye and restriction of the visual field for the past hour. On ophthalmologic examination, occlusion of the superior temporal branch of the central retinal artery was revealed. However, no other classic signs of ocular ischemia associated with Takayasu arteritis were observed. Three out of the six criteria set out by the American College of Rheumatology for the diagnosis of Takayasu disease were met. Visual acuity recovered to 7/10(e), corrected, with the presence of a patent cilioretinal artery. The occurrence of retinal artery occlusion at such a young age is exceptional, justifying a thorough examination to reveal the underlying pathology. There is only one other report in the literature of a case of branch retinal artery occlusion as a manifestation of Takayasu arteritis. The case reported here is exceptional because of the absence of more typical signs of ocular ischemia and the moderate degree of involvement of the major cervical arteries.
我们报告了一例患有确诊大动脉炎的年轻女性发生视网膜分支动脉阻塞的病例。一名35岁女性，有大动脉炎病史，5年前确诊，因左眼突然视力丧失和过去一小时视野受限到急诊科就诊。眼科检查发现视网膜中央动脉颞上分支阻塞。然而，未观察到与大动脉炎相关的其他典型眼部缺血体征。该病例符合美国风湿病学会制定的大动脉炎诊断六项标准中的三项。视力恢复到矫正后7/10（e），存在一条睫状视网膜动脉。如此年轻的患者发生视网膜动脉阻塞实属罕见，因此有必要进行全面检查以揭示潜在病理。文献中仅有另一例视网膜分支动脉阻塞作为大动脉炎表现的报告。此处报告的病例较为特殊，因为没有更典型的眼部缺血体征，且主要颈动脉受累程度较轻。
