title: 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.
authors.affiliation: Department of Ophthalmology, Iwate Medical University School of Medicine, Morioka, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Kamata
authors.forename: Kouhei
authors.initials: K
authors.lastname: Hashizume
authors.forename: Muneyoshi
authors.initials: M
authors.lastname: Kaneko
authors.forename: Daijiro
authors.initials: D
authors.lastname: Kurosaka
mesh_terms: D015267:Churg-Strauss Syndrome / Q000150:complications*; D003520:Cyclophosphamide / Q000008:administration & dosage*; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000008:administration & dosage*; D020551:Pulse Therapy, Drug; D020127:Recovery of Function / Q000187:drug effects*; D015356:Retinal Artery Occlusion / Q000188:drug therapy / Q000209:etiology / Q000473:pathology
chemical_list: D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D003520:Cyclophosphamide; D011239:Prednisolone