You are here

Article Text

Article menu
Download PDFPDF
Letter
Bilateral central retinal artery occlusion in Wegener's granulomatosis and α1 antitrypsin deficiency
  1. S C Wong1,
  2. R L Boyce1,
  3. T C Dowd1,
  4. J N Fordham2
  1. 1Department of Ophthalmology, North Riding Infirmary, Middlesbrough, UK
  2. 2Department of Rheumatology, James Cook University Hospital, Middlesbrough, UK
  1. Correspondence to: Dr Sui Chien Wong, Department of Ophthalmology, North Riding Infirmary, Newport Road, Middlesbrough, TS1 5JE, UK

https://doi.org/10.1136/bjo.86.4.476

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Visual loss occurs in up to 8% of patients with Wegener's granulomatosis (WG) during the disease lifetime,1 although only a small proportion of these cases are the result of central retinal artery occlusion (CRAO). We describe an unusual case of a patient with bilateral CRAO as a presenting feature of WG and α1 antitrypsin (AAT) deficiency.

    Case report

    A 58 year old white man presented with sudden painless loss of vision to the right eye. Vision was hand movements in the right eye and 6/6 in the left. Funduscopy revealed an acute right CRAO with macular oedema. There were no signs of uveitis or retinal vasculitis. Management consisted of intravenous acetazolamide (500 mg), ocular massage, and anterior chamber paracentesis. He was subsequently sent home with aspirin …

    View Full Text