Unusual presentation of CREST retinal vasculitis

Effie Z Rahman; Kinley D Beck; Corey W Waldman; Jeong-Hyeon Sohn

doi:10.1016/j.ajoc.2021.101172

Unusual presentation of CREST retinal vasculitis

Am J Ophthalmol Case Rep. 2021 Jul 22:23:101172. doi: 10.1016/j.ajoc.2021.101172. eCollection 2021 Sep.

Authors

Effie Z Rahman¹, Kinley D Beck¹, Corey W Waldman¹, Jeong-Hyeon Sohn¹

Affiliation

¹ University of Texas Health San Antonio, 7703 Floyd Curl Dr, San Antonio, TX, 78229, USA.

Abstract

Purpose: To report a case of CREST (calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, telangiectasias) syndrome-induced retinal vasculitis in the setting of ocular inflammation soon after recent micropulse cyclophotocoagulation (mTS-CPC).

Observations: Our patient developed CREST associated retinal vasculitis in both eyes (right > left) eight days after receiving mTS-CPC in her left eye. There was initial concern for sympathetic ophthalmia due to the resulting bilateral inflammation. The patient was treated with prednisone with resolution of her symptoms.

Conclusions: This is the first case of CREST retinal vasculitis that appears to be directly triggered by inflammation caused by mTS-CPC.

Keywords: Autoimmune vasculitis; CREST vasculitis; Retinal vasculitis.

Publication types

Case Reports