Anterior Ischemic Optic Neuropathy in a Patient with Churg-Strauss Syndrome

Full Text
	Case Report  Open Access
	Korean J Ophthalmol. 2012 Dec;26(6):469-472. English. Published online 2012 November 12.  http://dx.doi.org/10.3341/kjo.2012.26.6.469  © 2012 The Korean Ophthalmological Society Ji Eun Lee,1 Seung Uk Lee,1 Soo Young Kim,1 Tae Won Jang,2 and Sang Joon Lee1 1Department of Ophthalmology, Institute for Medicine, Kosin University College of Medicine, Busan, Korea. 2Department of Pulmonology, Institute for Medicine, Kosin University College of Medicine, Busan, Korea.  Corresponding Author: Sang Joon Lee, MD. Department of Ophthalmology, Kosin University Gospel Hospital, #262 Gamcheon-ro, Seo-gu, Busan 602-702, Korea. Tel: 82-51-990-6215, Fax: 82-51-990-3026,Email: hiatus@kosinmed.or.kr  Received March 05, 2010; Accepted April 07, 2011. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.  This article has been cited by 1 article in   Abstract We describe a patient with Churg-Strauss syndrome who developed unilateral anterior ischemic optic neuropathy. A 54-year-old man with a history of bronchial asthma, allergic rhinitis, and sinusitis presented with sudden decreased visual acuity in his right eye that had begun 2 weeks previously. The visual acuity of his right eye was 20 / 50. Ophthalmoscopic examination revealed a diffusely swollen right optic disc and splinter hemorrhages at its margin. Goldmann perimetry showed central scotomas in the right eye and fluorescein angiography showed remarkable hyperfluorescence of the right optic nerve head. Marked peripheral eosinphilia, extravascular eosinophils in a bronchial biopsy specimen, and an increased sedimentation rate supported the diagnosis of Churg-Strauss syndrome. Therapy with methylprednisolone corrected the laboratory abnormalities, improved clinical features, and preserved vision, except for the right central visual field defect. Early recognition of this systemic disease by ophthalmologists may help in preventing severe ocular complications. Keywords: Churg-Strauss syndrome, Ischemic optic neuropathy, Papilledema. Formats: Abstract Article PubReader PDF Figures + Tables References Cited by:  article (1) Export: Download Citation E-mail Twitter Facebook Figures: