Takayasu arteritis is an inflammatory disease of large  and medium-sized arteries, with a predilection for the aorta and its branches. Advanced lesions demonstrate a panarteritis with intimal proliferation.Lesions produced by the inflammatory process can be stenotic, occlusive, or aneurysmal. All aneurysmal lesions may have areas of arterial narrowing. Patients with aortitis syndrome exhibit various ocular changes.Cataract has seldom described as the initial manifestation of Takayasu arteritis. Here we are presenting  case of 14 year old female patient with arteritis which developed bilateral immature cataract before the initiation of steroid treatment.