title: Bilateral central retinal artery occlusion in Churg-Strauss syndrome.
abstract: 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.
authors.affiliation: Department of Ophthalmology and Visual Science, Tohoku University Graduate School of Medicine, Miyagi, Japan. udono@fn.freeserve.ne.jp
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Udono
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Abe
authors.forename: Hajime
authors.initials: H
authors.lastname: Sato
authors.forename: Makoto
authors.initials: M
authors.lastname: Tamai
mesh_terms: 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*
chemical_list: D000925:Anticoagulants; D005938:Glucocorticoids; D003520:Cyclophosphamide