Unilateral retinal vasculitis, branch retinal artery occlusion and subsequent retinal neovascularization in Crohn's disease

To report on a case of Crohn's disease and unilateral retinal vasculitis, branch retinal artery occlusion and subsequent retinal neovascularization. We examined a 38-year-old woman with severe left visual loss and biopsy-proven Crohn's disease diagnosed four years prior to the ocular invol...

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Bibliographic Details
Published in:International ophthalmology 2001, Vol.24 (2), p.89-92
Main Authors: Saatci, O A, Koçak, N, Durak, I, Ergin, M H
Format: Article
Language:English
Subjects:
Adult
Anti-Inflammatory Agents - therapeutic use
Crohn Disease - complications
Diagnostic Techniques, Ophthalmological
Drug Combinations
Female
Fluorescein Angiography
Fundus Oculi
Glucosamine - analogs & derivatives
Glucosamine - therapeutic use
Humans
Indocyanine Green
Laser Coagulation
Prednisolone - therapeutic use
Retinal Artery Occlusion - etiology
Retinal Artery Occlusion - therapy
Retinal Neovascularization - etiology
Retinal Neovascularization - therapy
Sulfasalazine - therapeutic use
Treatment Outcome
Vasculitis - etiology
Vasculitis - therapy
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Summary:To report on a case of Crohn's disease and unilateral retinal vasculitis, branch retinal artery occlusion and subsequent retinal neovascularization. We examined a 38-year-old woman with severe left visual loss and biopsy-proven Crohn's disease diagnosed four years prior to the ocular involvement. A Heidelberg scanning laser ophthalmoscope was used for fundus fluorescein angiography and indocyanine green angiography. Retinal neovascularization was detected during the follow-up. Successful regression of retinal neovascularization was achieved after argon green laser panretinal photocoagulation in addition to oral steroid and salazopyrine. Retinal vascular involvement is a rare ocular feature of Crohn's disease and may result in retinal neovascularization that may necessitate prompt laser photocoagulation.
ISSN:0165-5701
1573-2630
DOI:10.1023/A:1016351800466