A case of Churg-Strauss syndrome and central retinal artery occlusion with good visual recovery.

Yuki Kamata, Kouhei Hashizume, Muneyoshi Kaneko, Daijiro Kurosaka

Indian journal of ophthalmology 2013 Apr

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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.

Citation

Yuki Kamata, Kouhei Hashizume, Muneyoshi Kaneko, Daijiro Kurosaka. A case of Churg-Strauss syndrome and central retinal artery occlusion with good visual recovery. Indian journal of ophthalmology. 2013 Apr;61(4):178-9