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Case Reports
. 2013 Apr;61(4):178-9.
doi: 10.4103/0301-4738.112164.

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

Yuki Kamata  1 , Kouhei Hashizume, Muneyoshi Kaneko, Daijiro Kurosaka
Affiliations
Case Reports

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

Yuki Kamata et al. Indian J Ophthalmol. 2013 Apr.

Abstract

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.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a) Color fundus photograph of the right eye, showing a cherry-red spot, retinal pallor, and attenuated retinal arteries without emboli. (b) Fluorescein angiograms of the right eye at 40 s after injection, showing delayed arterial filling
Figure 2
Figure 2
Fluorescein angiograms of the right eye at (a) 23 s and (b) 45 s after injection, showing resolution of the retinal ischemia of the right eye 1 month after CRAO
See this image and copyright information in PMC

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