IJMDC. 2021; 5(11): 2012-2015

A good visual recovery in a patient with central retinal artery occlusion associated with Churg-Strauss syndrome: case report

Authors: Raghad Mohammed AlAkel, Waleed AlOrabi.

ABSTRACT

Background: Churg-Strauss syndrome (CSS) is a rare systemic necrotizing vasculitis of unknown etiology that affects small-to-medium-sized vessels. A multisystem disease that mostly affects the lungs and the skin. In addition, it could affect the renal, cardiovascular, gastrointestinal, central, and peripheral nervous systems. Ocular involvement in the CSS is rare. The reported ocular manifestations include corneal ulcer, uveoscleritis, conjunctival granuloma, orbital inflammatory pseudotumor, amaurosis fugax, retinal artery occlusion, ischemic optic neuropathy, oculomotor nerve palsy, and trochlear nerve palsy. Case Presentation: A 53-year-old man was admitted with sudden visual loss. CSS was diagnosed earlier, based on asthma, eosinophilia, peripheral neuropathy symptoms, and pulmonary infiltrates. His vision was completely lost in the left eye. Unilateral central retinal artery occlusion (CRAO) was observed by fluorescence angiography. Results: The treatment modality used in our patient was steroid pulse therapy, and his vision improved 24 hours later. This outcome might emphasize the importance of steroid pulse therapy since it may be effective for CRAO in CSS patients. Conclusion: This case report described a CSS patient with associated CRAO, in whom steroid pulse therapy improved his visual acuity. Therefore, since intensive treatment should be administered as early as possible to improve the prognosis of vision, rheumatologists should be aware of the presence of CSS-associated CRAO, and they should refer those patients to ophthalmology as soon as possible.

Keywords:
Churg-Strauss syndrome (CSS), central retinal artery occlusion (CRAO)


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A good visual recovery in a patient with central retinal artery occlusion associated with Churg-Strauss syndrome: case report


Authors
Raghad Mohammed AlAkel
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Waleed AlOrabi
Ophthalmology Associate Consultant, Ministry of National Guard Health Affairs (MNG-HA), Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles


Correspondence to:
. College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.; Raghadalaqel@gmail.com

Publication history
Received 26 Aug 2021
Accepted 01 Oct 2021
Published online 02 Oct 2021
Published in print 18 Nov 2021

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Pubmed Style

AlAkel RM, AlOrabi W. A good visual recovery in a patient with central retinal artery occlusion associated with Churg-Strauss syndrome: case report. IJMDC. 2021; 5(11): 2012-2015. doi:10.24911/IJMDC.51-1630009054


Web Style

AlAkel RM, AlOrabi W. A good visual recovery in a patient with central retinal artery occlusion associated with Churg-Strauss syndrome: case report. https://www.ijmdc.com/?mno=115951 [Access: August 18, 2022]. doi:10.24911/IJMDC.51-1630009054


AMA (American Medical Association) Style

AlAkel RM, AlOrabi W. A good visual recovery in a patient with central retinal artery occlusion associated with Churg-Strauss syndrome: case report. IJMDC. 2021; 5(11): 2012-2015. doi:10.24911/IJMDC.51-1630009054


Vancouver/ICMJE Style

AlAkel RM, AlOrabi W. A good visual recovery in a patient with central retinal artery occlusion associated with Churg-Strauss syndrome: case report. IJMDC. (2021), [cited August 18, 2022]; 5(11): 2012-2015. doi:10.24911/IJMDC.51-1630009054


Harvard Style

AlAkel, R. M. & AlOrabi, . W. (2021) A good visual recovery in a patient with central retinal artery occlusion associated with Churg-Strauss syndrome: case report. IJMDC, 5 (11), 2012-2015. doi:10.24911/IJMDC.51-1630009054


Turabian Style

AlAkel, Raghad Mohammed, and Waleed AlOrabi. 2021. A good visual recovery in a patient with central retinal artery occlusion associated with Churg-Strauss syndrome: case report. International Journal of Medicine in Developing Countries, 5 (11), 2012-2015. doi:10.24911/IJMDC.51-1630009054


Chicago Style

AlAkel, Raghad Mohammed, and Waleed AlOrabi. "A good visual recovery in a patient with central retinal artery occlusion associated with Churg-Strauss syndrome: case report." International Journal of Medicine in Developing Countries 5 (2021), 2012-2015. doi:10.24911/IJMDC.51-1630009054


MLA (The Modern Language Association) Style

AlAkel, Raghad Mohammed, and Waleed AlOrabi. "A good visual recovery in a patient with central retinal artery occlusion associated with Churg-Strauss syndrome: case report." International Journal of Medicine in Developing Countries 5.11 (2021), 2012-2015. Print. doi:10.24911/IJMDC.51-1630009054


APA (American Psychological Association) Style

AlAkel, R. M. & AlOrabi, . W. (2021) A good visual recovery in a patient with central retinal artery occlusion associated with Churg-Strauss syndrome: case report. International Journal of Medicine in Developing Countries, 5 (11), 2012-2015. doi:10.24911/IJMDC.51-1630009054


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