Rheumatology 2003; 42: 1005-1007
© 2003 British Society for Rheumatology
Letters to the Editor |
Takayasu's arteritis presenting as bilateral cataracts: report of three cases
Departments of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (INCMNSZ), Departments of
1 Immunology and
2 Ophthalmology, Instituto Nacional de Cardiología Ignacio Chávez and
3 Asociación para Evitar la Ceguera en México, México City, México
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SIR, Cataracts have been seldom described as initial manifestation of Takayasu's arteritis (TA). We describe three cases which presented due to rapidly evolving cataracts leading to blindness.
Case 1 was a 25-year-old woman who developed diminished visual acuity over a 5-month period. On examination she could only count fingers at 15 cm with both eyes, had unreactive dilated pupils with bilateral opacification of lenses (Fig. 1A
) and bilateral flare with no rubeosis of the angle or iris. Right-eye intraocular pressure (REIOP) was 16 mmHg, left-eye intraocular pressure (LEIOP) 17 mmHg. After cataract