Case Report
J Rheum Dis 2016; 23(5): 326-331
Published online October 31, 2016
© Korean College of Rheumatology
A Case of a Central Retinal Artery Occlusion in a Patient with Rheumatoid Arthritis
Correspondence to : Seung-Geun Lee, Division of Rheumatology, Department of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea. E-mail：sglee@pnuh.co.kr
This is a Free Access article, which permits unrestricted non-commerical use, distribution, and reproduction in any medium, provided the original work is properly cited.
A 50-year-old woman, who had been treated for rheumatoid arthritis (RA) over a 10-year period, suddenly presented with monocular vision loss while the RA had a stable course over many years. She was diagnosed with central retinal artery occlusion (CRAO) based on ophthalmologic examinations including optical coherence tomography and fluorescein angiography. There was no evidence of atherosclerosis, infection, and malignancy that can cause CRAO. Considering the association between CRAO and other rheumatic diseases, such as systemic vasculitis and systemic lupus erythematous in previous reports, it was presumed that her RA might have contributed to the development of CRAO. Although cases of CRAO in patients with RA are extremely rare, these findings suggest that physicians need to be aware of the possibility of CRAO in patients with RA who experience decreased visual acuity.
Keywords Retinal artery occlusion, Rheumatoid arthritis
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Case Report
J Rheum Dis 2016; 23(5): 326-331
Published online October 31, 2016 https://doi.org/10.4078/jrd.2016.23.5.326
Copyright © Korean College of Rheumatology.
A Case of a Central Retinal Artery Occlusion in a Patient with Rheumatoid Arthritis
Eun-Kyoung Park1, Seung-Geun Lee1, Dong-Wan Koo1, Ji-Heh Park1, Young-Mi Seol2, Shinwon Lee3, Sun-Hack Lee1, In-Su Kim1, Sungwho Park4
Divisions of 1Rheumatology and 2Hemato-oncology, Department of Internal Medicine, Pusan National University School of Medicine, 3Department of Internal Medicine, Pusan National University Hospital, Medical Research Institute, Pusan National University School of Medicine, 4Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea
Correspondence to:Seung-Geun Lee, Division of Rheumatology, Department of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea. E-mail：sglee@pnuh.co.kr
This is a Free Access article, which permits unrestricted non-commerical use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
A 50-year-old woman, who had been treated for rheumatoid arthritis (RA) over a 10-year period, suddenly presented with monocular vision loss while the RA had a stable course over many years. She was diagnosed with central retinal artery occlusion (CRAO) based on ophthalmologic examinations including optical coherence tomography and fluorescein angiography. There was no evidence of atherosclerosis, infection, and malignancy that can cause CRAO. Considering the association between CRAO and other rheumatic diseases, such as systemic vasculitis and systemic lupus erythematous in previous reports, it was presumed that her RA might have contributed to the development of CRAO. Although cases of CRAO in patients with RA are extremely rare, these findings suggest that physicians need to be aware of the possibility of CRAO in patients with RA who experience decreased visual acuity.
Keywords: Retinal artery occlusion, Rheumatoid arthritis
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