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Concurrent macular oedema and optic neuritis in Crohn's disease with varied response to steroids.

Authors
Type
Published Article
Journal
BMJ Case Reports
1757-790X
Publisher
BMJ
Publication Date
Volume
2010
Identifiers
DOI: 10.1136/bcr.10.2009.2394
PMID: 22479295
Source
Medline
License
Unknown

Abstract

A patient with a 10-year history of Crohn's disease presented to our ophthalmology service with symptoms of acute anterior uveitis. Previous episodes had been treated successfully with topical steroids.However, on this occasion after treatment with topical steroids, the patient developed macular oedema with concurrent optic neuritis in the affected eye.Furthermore, optic neuritis persisted despite oral steroid treatment contrary to expectations based on current literature. After 6 months of treatment, optic disc oedema had markedly improved but was replaced by sectoral disc pallor.

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