Multifocal posterior uveitis in Crohn's disease

Tappeiner, Christoph; Dohrmann, Jürgen; Spital, Georg; Heiligenhaus, Arnd (2007). Multifocal posterior uveitis in Crohn's disease. Graefe's archive for clinical and experimental ophthalmology, 245(3), pp. 457-459. Springer 10.1007/s00417-006-0363-x

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PURPOSE
To report a case of rare posterior eye manifestation of Crohn's disease preceding recurrence of inflammatory bowel disease.

METHODS
Case report with ophthalmoscopic findings, fluorescein/indocyanin green angiograms, automated perimetry and multifocal-ERG.

RESULTS
The perimetry revealed absolute and relative scotomas corresponding to multifocal inflammatory lesions in the retina and choroid, reduced a/b amplitudes in multifocal-ERG and hypofluorescent dots in angiography. Under oral prednisolone visual defects, ophthalmoscopic and angiographic findings resolved, while a/b amplitudes remained mildly reduced. The ocular changes occurred without systemic hypertension and were followed by a new episode of intestinal symptoms.

CONCLUSION
Multifocal inflammatory lesions in the retina and choroid in patients with Crohn's disease may occur and may precede a recurrent intestinal episode. Crohn's patients should be carefully followed up in collaboration with internal medicine specialists.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ophthalmology

UniBE Contributor:

Tappeiner, Christoph

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0721-832X

Publisher:

Springer

Language:

English

Submitter:

Christoph Tappeiner

Date Deposited:

04 Mar 2014 10:22

Last Modified:

05 Dec 2022 14:29

Publisher DOI:

10.1007/s00417-006-0363-x

PubMed ID:

16788825

BORIS DOI:

10.7892/boris.42895

URI:

https://boris.unibe.ch/id/eprint/42895

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