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Wong RW, McDonald HR, Jumper JM, et al. Surgically induced necrotizing scleritis and optic neuropathy after pars plana vitrectomy as presenting signs of churg-strauss syndrome. Retin Cases Brief Rep. 2009;3(4):398-9doi: 10.1097/ICB.0b013e31817f2e66.
Wong, R. W., McDonald, H. R., Jumper, J. M., Fu, A., Johnson, R., Ai, E., & Cunningham, E. T. (2009). Surgically induced necrotizing scleritis and optic neuropathy after pars plana vitrectomy as presenting signs of churg-strauss syndrome. Retinal cases & brief reports, 3(4), 398-9. https://doi.org/10.1097/ICB.0b013e31817f2e66
Wong, Robert W, et al. "Surgically induced necrotizing scleritis and optic neuropathy after pars plana vitrectomy as presenting signs of churg-strauss syndrome." Retinal cases & brief reports vol. 3,4 (2009): 398-9. doi: https://doi.org/10.1097/ICB.0b013e31817f2e66
Wong RW, McDonald HR, Jumper JM, Fu A, Johnson R, Ai E, Cunningham ET. Surgically induced necrotizing scleritis and optic neuropathy after pars plana vitrectomy as presenting signs of churg-strauss syndrome. Retin Cases Brief Rep. 2009;3(4):398-9. doi: 10.1097/ICB.0b013e31817f2e66. PMID: 25389859.
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Retin Cases Brief Rep. 2009;3(4):398-9. doi: 10.1097/ICB.0b013e31817f2e66.

Surgically induced necrotizing scleritis and optic neuropathy after pars plana vitrectomy as presenting signs of churg-strauss syndrome.

Retinal cases & brief reports

Robert W Wong, H Richard McDonald, J Michael Jumper, Arthur Fu, Robert Johnson, Everett Ai, Emmett T Cunningham

Affiliations

  1. From the *Pacific Vision Foundation, California Pacific Medical Center, San Francisco; †West Coast Retina Medical Group, Inc., San Francisco; and ‡Department of Opthalmology, Stanford University School of Medicine, Stanford, California.

PMID: 25389859 DOI: 10.1097/ICB.0b013e31817f2e66

Abstract

PURPOSE: To report a case of surgically induced necrotizing scleritis and optic neuropathy after pars plana vitrectomy as presenting signs of Churg-Strauss syndrome.

METHOD: Case report.

RESULTS: A 59-year-old Asian man underwent a 20-gauge pars plana vitrectomy to remove a posteriorly dislocated intraocular lens. During follow-up, he developed unilateral necrotizing scleritis and optic neuropathy. Systemic evaluation and laboratory investigations revealed findings consistent with Churg-Strauss syndrome. Systemic corticosteroids therapy produced dramatic improvement in visual symptoms.

CONCLUSION: Churg-Strauss syndrome should be considered in any patient who develops surgically induced necrotizing scleritis and/or optic neuropathy after pars plana vitrectomy. Prompt and aggressive treatment with systemic corticosteroids can result in marked improvement.

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