Novel ultrawide field fundus fluorescein angiographic findings in a patient of Takayasu arteritis on immunosuppression
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Date
2020-01
Journal Title
Journal ISSN
Volume Title
Publisher
All India Ophthalmological Society
Abstract
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.
Description
Keywords
Cattle trucking, computed tomography angiogram, Takayasu arteritis, ultrawide field fundus fluorescein angiography
Citation
Padhy SK, Chawla R. Novel ultrawide field fundus fluorescein angiographic findings in a patient of Takayasu arteritis on immunosuppression. Indian Journal of Ophthalmology. 2020 Jan; 68(1): 238-240