Bilateral central retinal vein occlusion in a case of Takayasu arteritis

Takayasu arteritis (TA) is a chronic inflammatory granulomatous vasculitis which most commonly affects the aorta and its primary branches. We present a rare case of bilateral central retinal vein occlusion in a patient of TA. A 32-year-old female presented with sudden, painless diminution of vision in both eyes since 4 months, which was increased in the past 4 days. She is a known case of TA. On examination, the best corrected visual acuity of both eyes was 6/12 with no iris and angle neovascularization. Fundus examination and optical coherence tomography revealed dilated and tortuous retinal veins, sclerosed vessels, and flame-shaped hemorrhages in all four quadrants with macular edema.