Vitali C, Genovesi-Ebert F, Romani A, Jeracitano G, Nardi M
Rheumatology Unit, University of Pisa, Italy.
Graefes Arch Clin Exp Ophthalmol. 1996 Jun;234(6):404-8. doi: 10.1007/BF00190718.
It is well known that different types of eye involvement may develop during the course of systemic vasculitides.
We report here a case of Churg-Strauss syndrome (allergic granulomatous angiitis) characterized by the presence of multiple ophthalmological and neuro-ophthalmological lesions, i.e., mononeuritis of the fourth cranial nerve, multifocal choroidal ischaemia, and bilateral ischaemic optic neuropathy.
Ischaemic lesions in the posterior ciliary plexus and chorio-retinal circulation, which appeared simultaneously after a phase of disease activity, were documented.
The simultaneous occurrence of multiple ocular features in a patient with Churg-Strauss syndrome suggests that regional vasculitis may be the pathological mechanism underlying the multiple ophthalmological lesions in this disorder.
