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Ischemic retinopathy associated with Crohn's disease
Rubens Camargo Siqueira1, Roberto Luiz Kaiser Junior2, Lilian Piron Ruiz2
1Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, School of Medicine of Ribeirão Preto, University of Sao Paulo, Ribeirão Preto, Sao Paulo, Brazil; Department of Bone Marrow Transplantation, Beneficencia Portuguesa Hospital, Sao José do Rio Preto, Sao Paulo, Brazil.
A patient with Crohn's disease experienced ischemic retinopathy, leading to a sudden decrease in vision. Regular eye exams are crucial for Crohn's patients to detect such vision complications early.
Area of Science:
- Ophthalmology
- Gastroenterology
- Inflammatory Bowel Disease
Background:
- Crohn's disease is a chronic inflammatory bowel disease.
- Ocular manifestations can occur in patients with Crohn's disease.
Observation:
- A 28-year-old female with Crohn's disease presented with sudden visual acuity decrease in her right eye.
- Clinical examination revealed features consistent with ischemic retinopathy.
Findings:
- Diagnostic tests including fluorescein angiography, optical coherence tomography, and multifocal electroretinography confirmed ischemic retinopathy.
- Despite systemic corticosteroid treatment, the patient developed an epiretinal membrane with persistent visual impairment.
Implications:
- This case highlights a potential link between Crohn's disease and ischemic retinopathy.
- Routine ophthalmological screening is recommended for individuals undergoing treatment for Crohn's disease to monitor for ocular complications.
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