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A rare case of Crohn’s disease with papilledema of the optic nerve
Author(s) -
KOEV K
Publication year - 2014
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2014.f081.x
Subject(s) - medicine , optic nerve , ophthalmology , fundus (uterus) , edema , coats' disease , pathology , surgery , retinal
Purpose A case of а thirty year old woman is described with Crohn’s disease who presented with ocular symptoms. Crohn's disease is a type of inflammatory bowel disease, resulting in swelling and dysfunction of the intestinal tract. Methods The patient was examined for visual acuity, Оptical coherence tomography (OCT), automatic computerized perimetry (ACP) and fundoscopy. Except the intestinal manifestations peculiar for Crohn's Disease, in the patient were observed articular, dermatological manifestations (dermatitis and psoriasis of the forehead and the head). Results The patient examined presented with ocular changes, which is very uncommon with the disease. VOD = 1.0 +0,75 DS VOS = 1.0 +0,75 DS. We observed changes in the course of the conjunctival vessels, tortuosity and a light edema of the vessels. Similar changes were observed in the vessels of the posterior pole of the retina. We observed changes in the papilla of the optic nerve, which are unrecognized in literature. Under the OCT performed, we observed edema in the central areas of the optic nerves, more pronounced in the vascular funnel of the right eye ‐ 534 µm, and less pronounced in the left eye ‐ 356 µm. Under an ACP, we observed changes in the blind spot. Conclusion Generally, in ophthalmologic aspect, Crohn’s Disease affects episclera, cornea, conjunctiva, iris and uvea. There is presented a rare case of Crohn’s Disease with changes in the papilla of the optic nerve.