Volume 24, Number 2, 89-92, DOI: 10.1023/A:1016351800466

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

Osman A. Saatci, Nilüfer Koçak, İsmet Durak and Mehmet H. Ergin

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Abstract

Purpose: To report on a case of Crohn''s disease and unilateral retinal vasculitis, branch retinal artery occlusion and subsequent retinal neovascularization. Methods: 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. Results: Successful regression of retinal neovascularization was achieved after argon green laserpanretinal photocoagulation in addition to oral steroid and salazopyrine. Conclusion: Retinal vascular involvement is a rare ocular feature of Crohn''s disease and may result in retinal neovascularization that may necessitate prompt laser photocoagulation.

Crohn''s disease - retinal artery occlusion - retinal neovascularization - retinal vasculitis

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