Treatment of Takayasu arteritis–related photic and postprandial amaurosis | Zendy

Sze H. Wong | Zendy; Roger E. Turbin | Zendy; Larry Frohman | Zendy

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Treatment of Takayasu arteritis–related photic and postprandial amaurosis

Author(s) -

Sze H. Wong,

Roger E. Turbin,

Larry Frohman

Publication year - 2017

Publication title -

digital journal of ophthalmology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.223

H-Index - 7

ISSN - 1542-8958

DOI - 10.5693/djo.02.2017.09.002

Subject(s) - amaurosis , medicine , anemia , postprandial , retinal , arteritis , ophthalmology , cardiology , surgery , insulin

We report the case of a 66-year-old man with Takayasu arteritis who developed photic and postprandial amaurosis occurring at a corticosteroid dose <40 mg per day, despite concurrent methotrexate. The amaurosis resolved with correction of anemia by packed red blood cell transfusion. Marginal retinal perfusion in Takayasu arteritis may precipitate symptomatic hypoxia as a result of eating a meal or exposing the eye to bright lights. Correction of anemia improves oxygen delivery to the hypoxic retina and relieves recurrent amaurosis.

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