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Multifocal choroiditis--an unusual finding in Crohn's disease
R N G Vianna1, P C Ozdal, J Deschénes
1Uveitis Clinic, Department of Ophthalmology, Royal Victoria Hospital, McGill University Health Center, Montreal, Quebec, Canada. raulngvianna@ig.com.br
European Journal of Ophthalmology
|August 18, 2004
Summary
This case report details a patient with Crohn's disease experiencing vision loss due to multifocal choroiditis. Prompt treatment with corticosteroids led to remission of these inflammatory eye lesions.
Area of Science:
- Ophthalmology
- Gastroenterology
- Immunology
Background:
- Crohn's disease is a chronic inflammatory condition.
- Ocular manifestations can occur in Crohn's disease, sometimes independent of gastrointestinal activity.
Observation:
- A patient with Crohn's disease presented with acute decreased vision in one eye.
- Ocular examination revealed multifocal choroiditis and serous retinal detachment.
Findings:
- Fundus biomicroscopy showed distinct yellowish lesions in the posterior pole.
- Fluorescein angiography demonstrated characteristic hypofluorescence followed by hyperfluorescence.
- Subtenonian corticosteroid injection rapidly resolved the choroidal lesions.
Implications:
- Chorioretinal inflammation in Crohn's disease requires awareness, even without active GI symptoms.
- Periocular corticosteroid injections are an effective treatment for these inflammatory ocular lesions.