Department of Ophthalmology, Iwate Medical University School of Medicine, Morioka, Japan.
Indian J Ophthalmol. 2013 Apr;61(4):178-9. doi: 10.4103/0301-4738.112164.
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.
我们在此报告一例 Churg-Strauss 综合征（CSS）合并视网膜中央动脉阻塞（CRAO）病例，该患者视力恢复良好。一名 58 岁的日本男性患有 CSS，出现右眼急性无痛性视力丧失。眼底检查结果（视网膜苍白伴樱桃红点）诊断为 CRAO。给予类固醇脉冲疗法（甲泼尼龙 1 g 每日 3 天），随后联合泼尼松（30 mg/天）和环磷酰胺（150 mg/天）治疗；1 个月后患者视力恢复至 20/30，1 年内无复发。类固醇脉冲疗法可能对 CSS 患者的 CRAO 有效。
