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

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.

Keywords

• Ampiginous choroiditis
• fluorescein angiography/fluorescein angiogram
• indocyanine green angiogram
• multifocal choroiditis
• posterior uveitis
• serpiginous choroiditis
• Branch retinal vein occlusion
• mean platelet volume
• platelet activation
• retinal vein occlusion
• Fibrin glue
• glued intrascleral fixation
• glued intraocular lens forceps
• three-piece foldable intraocular lens
• Hydroxychloroquine
• optical coherence tomography
• retinal toxicity
• retinal thickness
• Central serous chorioretinopathy
• metamorphopsia
• optical coherence tomography
• Retinal hemorrhages
• altitude retinopathy
• Central retinal artery occlusion
• Churg-Strauss syndrome
• steroid pulse therapy