Ramteke Vishal V, Gokhale Yojana A, Kamdar Paritosh A, Maniar Vashistha, Shrivastava Makardhwaj, Singh Natasha, Krishna B A
Department of Medicine, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.
BMJ Case Rep. 2011 Mar 29;2011:bcr1020103414. doi: 10.1136/bcr.10.2010.3414.
Sudden painless loss of vision is an ophthalmologic and a medical emergency resulting from various causes such as occlusion of retinal artery or vein, macular or vitreous haemorrhages, retinal detachment, and anterior and posterior ischaemic optic neuropathy. We report a 48-year-old woman presenting with right monocular blindness due to branch retinal artery occlusion whose vision recovered due to timely paracentesis coupled with treatment with adequate antiplatelet agents and anticoagulants. The patient had transient diplopia and ptosis despite adequate antiplatelet agents and anticoagulants. Thorough search for aetiology revealed the underlying cause to be aortoarteritis. Aortoarteritis is a rare disease, and ocular involvement occurs late in the disease. We review ophthalmologic manifestation of aortoarteritis and diagnostic utilities of various modalities for aortoarteritis.
突发性无痛性视力丧失是一种眼科和内科急症，由多种原因引起，如视网膜动脉或静脉阻塞、黄斑或玻璃体出血、视网膜脱离以及前部和后部缺血性视神经病变。我们报告了一名48岁女性，因视网膜分支动脉阻塞导致右眼单眼失明，经及时穿刺引流并联合使用适当的抗血小板药物和抗凝剂治疗后视力恢复。尽管使用了适当的抗血小板药物和抗凝剂，患者仍出现短暂性复视和上睑下垂。对病因进行全面检查后发现潜在病因是大动脉炎。大动脉炎是一种罕见疾病，眼部受累在疾病后期出现。我们回顾了大动脉炎的眼科表现以及大动脉炎各种诊断方法的应用。
