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Bilateral central retinal artery occlusion in Churg-Strauss syndrome



Bilateral central retinal artery occlusion in Churg-Strauss syndrome



American Journal of Ophthalmology 136(6): 1181-1183



PURPOSE: To describe a rare bilateral central retinal artery occlusion in a patient with Churg-Strauss syndrome. DESIGN: Observational case report. METHODS: A 68-year-old Japanese man with Churg-Strauss syndrome developed sudden vision loss in both eyes. Medical history included bronchial asthma, elevated eosinophils, and aortic regurgitation. RESULT: Central retinal artery occlusion was diagnosed by retinal whitening, a cherry-red spot, and delayed arteriovenous transit time on fluorescein angiography. Corticosteroids, cyclophosphamide, and anticoagulant therapy altered the hypereosinophilia and mononeuritis multiplex, but no visual recovery occurred during the following 2 years. CONCLUSION: Bilateral central retinal artery occlusion can occur in Churg-Strauss syndrome. Patients with this diagnosis should be carefully followed.

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Accession: 011803569

Download citation: RISBibTeXText

PMID: 14644243

DOI: 10.1016/s0002-9394(03)00712-8



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