Bilateral central retinal artery occlusion in Churg-Strauss syndrome.
OBJECTIVE
To describe a rare bilateral central retinal artery occlusion in a patient with Churg-Strauss syndrome.


METHODS
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.


RESULTS
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.


CONCLUSIONS
Bilateral central retinal artery occlusion can occur in Churg-Strauss syndrome. Patients with this diagnosis should be carefully followed.
Udono
Tetsuo
T
Department of Ophthalmology and Visual Science, Tohoku University Graduate School of Medicine, Miyagi, Japan. udono@fn.freeserve.ne.jp
Abe
Toshiaki
T
Sato
Hajime
H
Tamai
Makoto
M
D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D001022:Aortic Valve Insufficiency / Q000150:complications; D001249:Asthma / Q000150:complications; D015267:Churg-Strauss Syndrome / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D003520:Cyclophosphamide / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004802:Eosinophilia / Q000150:complications; D005451:Fluorescein Angiography; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D015356:Retinal Artery Occlusion / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
D000925:Anticoagulants; D005938:Glucocorticoids; D003520:Cyclophosphamide