Open AccessA case of Churg-Strauss syndrome and central retinal artery occlusion with good visual recovery
Author(s) -
Yuki Kamata,
Kouhei Hashizume,
Masaru Kaneko,
Daijiro Kurosaka
Publication year - 2013
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.112164
Subject(s) - medicine , churg strauss syndrome , retinal artery occlusion , occlusion , central retinal artery occlusion , branch retinal artery occlusion , ophthalmology , retinal , retinal artery , surgery , fluorescein angiography , vasculitis , disease
Here we report a case of Churg-Strauss syndrome (CSS) and central retinal artery occlusion (CRAO), with good visual recovery. A 58-year-old Japanese man with CSS experienced acute painless loss of vision in his right eye. CRAO was diagnosed by fundoscopic findings (retinal whitening with a cherry-red spot). Steroid pulse therapy (methylprednisolone at 1 g daily for 3 days) followed by combined treatment with prednisolone (30 mg/day) and cyclophosphamide (150 mg/day) was administered; his visual acuity recovered to 20/30 in 1 month, and no recurrence has occurred for 1 year. Steroid pulse therapy may be effective for CRAO in CSS patients.