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Case Reports in Ophthalmological Medicine
Volume 2014 (2014), Article ID 967878, 4 pages
http://dx.doi.org/10.1155/2014/967878
Case Report

Central Retinal Vein Occlusion in a Patient with Retinal Vasculitis and Crohn’s Disease

Department of Ophthalmology, Centro Hospitalar Vila Nova de Gaia, 4425-440 Espinho, Portugal

Received 27 August 2014; Revised 10 November 2014; Accepted 12 November 2014; Published 24 November 2014

Academic Editor: Maurizio Battaglia Parodi

Copyright © 2014 Lígia Figueiredo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The authors report a rare case of a 47-year-old woman with Crohn’s disease (CD) who presented with retinal vasculitis and central retinal vein occlusion (CRVO) during remission. The patient complained of sudden painless visual loss in her left eye (OS). Ophthalmologic evaluation revealed a best corrected visual acuity (BCVA) of 20/20 in the right eye and hand movements in OS. Ophthalmoscopy and fluorescein angiography of OS showed signs of nonischemic CRVO and extensive vasculitis. She was treated with oral prednisolone, mercaptopurine, and intravitreal bevacizumab in OS. After 1 month of treatment, VA of OS improved to 5/10 and after 1 year it was 10/10 with complete resolution of retinal vasculitis and nonischemic CRVO.