Saatci O A, Koçak N, Durak I, Ergin M H
Department of Ophthalmology Dokuz Eylül University, Izmír, Turkey.
Int Ophthalmol. 2001;24(2):89-92. doi: 10.1023/a:1016351800466.
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.
报告一例克罗恩病合并单侧视网膜血管炎、视网膜分支动脉阻塞及随后视网膜新生血管形成的病例。
我们检查了一名38岁女性，她左眼视力严重丧失，经活检证实患有克罗恩病，该病在眼部受累前四年被诊断。使用海德堡扫描激光眼底镜进行眼底荧光血管造影和吲哚菁绿血管造影。随访期间检测到视网膜新生血管形成。
除口服类固醇和柳氮磺胺吡啶外，氩绿激光全视网膜光凝术后视网膜新生血管成功消退。
视网膜血管受累是克罗恩病罕见的眼部表现，可能导致视网膜新生血管形成，这可能需要及时进行激光光凝治疗。
