Anterior ischemic optic neuropathy and central retinal artery occlusion – A rare presentation in Takayasu arteritis

Arteritic anterior ischemic optic neuropathy is a common ophthalmic manifestation of giant cell arteritis in elderly patients. Central retinal artery occlusion and anterior ischemic optic neuropathy are relatively rare presentations in Takayasu arteritis. Our report describes a young Indian woman with Takayasu disease who presented with central retinal artery occlusion in one eye followed by anterior ischemic optic neuropathy in the fellow eye leading to bilateral loss of vision. Prompt initiation of corticosteroid therapy resulted in visual recovery.