Takayasu's Arteritis Associated with Serous Retinal Detachment

ABSTRACT

The authors experienced 2 cases of Takayasu's arteritis which were associated with serous retinal detachment in two young women. Retinal detachment in Takayasu's arteritis is a rare complication. In case 1, proximal hypertension was complicated due to atypical coarctation of thoracic aorta. So the choroidal vascular insufficiency and choroidal ischemia resulted in focal serous retinal detachment. In case 2, insufficient blood supply to the head and upper extremities resulted from coarctation of ascending aorta and its main branches, and the hypotensive collapse of choroidal vessels resulted in choroidal ischemia and focal serous retinal detachment. From these phenomena, we suggest that serous retinal detachment in Takayasu's arteritis can occur due to hypertensive choroidopathy or hypotensive choroidopathy.