Open AccessNovel ultrawide field fundus fluorescein angiographic findings in a patient of Takayasu arteritis on immunosuppression
Author(s) -
Srikanta Kumar Padhy,
Rohan Chawla
Publication year - 2020
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_455_19
Subject(s) - medicine , choroid , fluorescein angiography , prednisolone , methotrexate , fundus (uterus) , arteritis , fundus fluorescein angiography , fluorescein , immunosuppression , blood–retinal barrier , retina , ophthalmology , pathology , retinal , surgery , diabetic retinopathy , diabetes mellitus , endocrinology , physics , quantum mechanics , optics , fluorescence
A 35-year-old male, a case of Takayasu arteritis on treatment with oral prednisolone and methotrexate, revealed novel ultrawide field fluorescein angiographic features in bilateral eyes. The typical features of delayed arm-retina circulation time, lobulated areas of nonperfusion in choroid, cattle trucking of red blood cells in veins, and delayed arteriovenous transit time were nicely captured. Additionally, we noted peripheral perivascular hyperfluorescence and disc hyperfluorescence. We believe these findings could possibly be used as markers of disease activity. Lack of marked capillary nonperfusion areas and marked perivascular leakage probably signifies modulation of disease activity by the immunosuppressants.