VRSI IMAGE AND VIDEO COMPETITION

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Title: Ultra wide field imaging in Takayasu arteritis

Description: We present a case of a 25year old female, a known case of Takayasu arteritis who presented with gradual diminution of vision in both eyes. It was associated with intermittent pain, redness, watering, and headache. Best corrected visual acuity in right eye was Hand movement+ and left eye was 6/12. Anterior segment examination showed presence of iris neovascularisation and posterior subcapsular cataract in right eye. Dilated fundus examination showed areas of avascular retina in both eyes. Left eye had vitreous haemorrhage along with neovascularisation at disc and arterio-venous shunting. On performing ultra wide field fundus fluorescein angiogram we observed extensive non perfusion areas in all quadrants. Multiple microaneurysms are noted in perfused areas. Arteriovenous anastomoses are also seen. Foveal avascular zone is enlarged and irregular due to non perfusion. Arm to retina time is 25sec OD and 29sec OS.