{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T03:09:14Z","timestamp":1774321754494,"version":"3.50.1"},"reference-count":18,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,7,22]]},"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>A unique case of sequential occurrence of central retinal artery occlusion (CRAO) and superotemporal branch retinal vein occlusion (ST-BRVO) in a patient of Takayasu\u2019s arteritis is described. An 18-year-old man was diagnosed as left eye CRAO on his initial presentation and was subjected to a complete cardiovascular evaluation revealing findings diagnostic of Takayasu\u2019s arteritis. Patient was however lost to follow-up and presented 16 months later with ST-BRVO in the right eye. Multidisciplinary intervention and an appropriate ocular intervention led to complete recovery of vision in the right eye that was maintained until his last ophthalmic evaluation (2.5 years after the initial presentation). Though uncommon, small retinal vessel involvement can occur in Takayasu\u2019s arteritis as the inaugural feature. Hence, CRAO or branch retinal vein occlusion in a young patient, especially a male, mandates a thorough systemic evaluation and a high index of suspicion of Takayasu\u2019s arteritis to prevent vision threatening complications.<\/jats:p>","DOI":"10.1136\/bcr-2018-228909","type":"journal-article","created":{"date-parts":[[2019,8,16]],"date-time":"2019-08-16T03:45:13Z","timestamp":1565927113000},"page":"e228909","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Takayasu\u2019s arteritis: a unique ophthalmic presentation with CRAO and BRVO"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7118-2329","authenticated-orcid":false,"given":"Vinita","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saurabh","family":"Luthra","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Drishti Eye Institute, Dehradun, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Shrinkhal","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sony","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Patna Medical College, Patna, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,8,15]]},"reference":[{"key":"2025082701180910000_12.8.e228909.1","doi-asserted-by":"crossref","first-page":"54","DOI":"10.3928\/01913913-20100106-13","article-title":"Takayasu\u2019s disease and secondary ocular ischemic syndrome","volume":"47","author":"Demir","year":"2010","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"2025082701180910000_12.8.e228909.2","doi-asserted-by":"publisher","DOI":"10.1097\/00006982-200104000-00006"},{"key":"2025082701180910000_12.8.e228909.3","doi-asserted-by":"publisher","DOI":"10.1007\/BF01744544"},{"key":"2025082701180910000_12.8.e228909.4","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1186\/s13256-017-1330-3","article-title":"Bilateral ocular ischemia-induced blindness as a presenting manifestation of Takayasu arteritis: a case report","volume":"11","author":"Pallangyo","year":"2017","journal-title":"J Med Case Rep"},{"key":"2025082701180910000_12.8.e228909.5","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1016\/S0021-5155(99)00110-0","article-title":"Importance of fluorescein angiographic study in evaluating early retinal changes in Takayasu disease","volume":"43","author":"Baba","year":"1999","journal-title":"Jpn J Ophthalmol"},{"key":"2025082701180910000_12.8.e228909.6","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.2147\/OPTH.S12331","article-title":"Hypoperfusive and hypertensive ocular manifestations in Takayasu arteritis","volume":"4","author":"Peter","year":"2010","journal-title":"Clin Ophthalmol"},{"key":"2025082701180910000_12.8.e228909.7","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1007\/978-94-010-1573-8_78","article-title":"Retinal vascular changes in Takayasu\u2019s disease (pulseless disease). 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