Central retinal arterial occlusion in a patient with pyoderma gangrenosum.

A 74-year-old male presented to us with a history of vision loss for 36 hours in the right eye (RE). The RE had a visual acuity of hand movements. The fundus revealed a pale retina, cattle tracking in the retinal vessels, and a cherry-red spot at the macula. The patient was a known case of pyoderma...

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Publicado en:Indian Journal of Ophthalmology Vol. 66; no. 7; pp. 1019 - 1022
Autores principales: Tripathy, Koushik, Mazumdar, Shahana, Sarma, Barsha
Formato: Journal Article
Publicado: Wolters Kluwer India Pvt Ltd Jul2018
Acceso en línea:Ver este registro en EBSCOhost
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        03014738
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      dt: Jul2018
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      pub: Wolters Kluwer India Pvt Ltd
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        atl: Central retinal arterial occlusion in a patient with pyoderma gangrenosum.
      aug:
        au:
          Tripathy, Koushik
          Mazumdar, Shahana
          Sarma, Barsha
        affil: Department of Vitreoretina and Uvea, ICARE Eye Hospital and Postgraduate Institute, Noida, Uttar Pradesh, India
      sug:
        subj:
          Retinal Artery Occlusion Etiology
          Retina Pathology
          Pyoderma Gangrenosum Complications
          Aged
          Tomography, Optical Coherence
          Visual Acuity
          Male
          Retinal Artery Occlusion Diagnosis
          Angiography
          Retina
          Aged: 65+ years
          Male
      ab: A 74-year-old male presented to us with a history of vision loss for 36 hours in the right eye (RE). The RE had a visual acuity of hand movements. The fundus revealed a pale retina, cattle tracking in the retinal vessels, and a cherry-red spot at the macula. The patient was a known case of pyoderma gangrenosum (PG) and had received intravenous methylprednisolone and cyclophosphamide at the onset of visual symptoms. An emergency anterior chamber paracentesis was performed following unsuccessful attempts of ocular massage. The patient improved to 6/9 in the RE 4 months after paracentesis. The patient had an aggressive course of PG, for which he needed a combination of oral steroid, immunomodulator therapy and biologicals. An association between central retinal arterial occlusion and PG has not been reported before, according to the best of authors' knowledge.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Unknown
    language: English
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