A 20-YEAR-OLD woman with a history of Takayasu's arteritis was referred with complaints of mild decrease in night vision and mild episodic visual blurring. Retinal vascular changes had reportedly developed during the previous several months.
Visual acuity was 20/25 OU. There was no rubeosis seen at the slitlamp examination. Retinal examination showed hundreds of microaneurysms, both posteriorly and peripherally, an occasional blot hemorrhage, and multiple whitish peripheral retinal vessels without associated neovascularization or shunts (Figure 1). Although the vessels at the optic nerve seemed normal, minimal pressure on the globe caused pulseless arteriolar collapse. There was no clinically evident macular edema.
Koo J, Boldrey EE. Takayasu's Disease. Arch Ophthalmol. 2000;118(6):858-859. doi:10.1001/archopht.118.6.858