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Sudden loss of vision caused by a vasculitic ophthalmic artery occlusion in a patient with ankylosing spondylitis and Crohn’s disease
  1. H Soomro,
  2. M Armstrong,
  3. E M Graham,
  4. M R Stanford
  1. Department of Ophthalmology, St. Thomas’s Hospital, London
  1. Correspondence to: H Soomro Institute Of Ophthalmology, UCL, 11/43 Bath Street, London EC1V 9EL, UK; hibba{at}doctors.org.uk

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We report for the first time a vasculitic ophthalmic artery in an HLA-B27 positive patient with ankylosing spondylitis and a new presentation of Crohn’s disease.

Case report

A 37-year-old woman presented with sudden painless loss of vision in the right eye to perception of light, the left having poor vision from chronic uveitis and glaucoma. Examination showed iritis, an intra-ocular pressure of 2 mm Hg, a cherry red spot at the fovea with cloudy swelling, attenuated blood vessels and segmented blood flow consistent with global ocular ischaemia. The left eye showed a pale disc from long standing glaucoma. General examination showed that sinus tachycardia and blood pressure was normal.

The patient had a history of bilateral uveitis and ankylosing spondylitis for …

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