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BRIEF COMMUNICATION
Year : 2013  |  Volume : 61  |  Issue : 4  |  Page : 178-179

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


Department of Ophthalmology, Iwate Medical University School of Medicine, Morioka, Japan

Correspondence Address:
Kouhei Hashizume
Department of Ophthalmology, Iwate Medical University, School of Medicine, Uchimaru 19-1, Morioka, Iwate
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.112164

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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.


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