High-dose intravenous pulse methylprednisolone hemisuccinate in acute Behçet retinitis.

Abstract:

PURPOSE:To report the response of acute Behçet retinitis to high-dose corticosteroids. METHOD:Case report. A 58-year-old man with Behçet disease and severe bilateral glaucoma experienced a sudden decrease of visual acuity to counting fingers in his (better-seeing) left eye. Examination disclosed hypopyon uveitis and an infiltrative retinitis threatening the fovea. He received intravenous methylprednisolone hemisuccinate, 1 gram per hour on each of 3 successive days, followed by oral prednisone and cyclosporine. RESULTS:The retinal infiltrate disappeared within 24 hours. Visual acuity improved to LE, 20/400 by day 5 and returned to LE, 20/30 after 3 months. A visual field demonstrated a scotoma corresponding to the location of the previous retinitis. CONCLUSION:High-dose intravenous methylprednisolone can reverse severe vision loss in acute Behçet retinitis.

journal_name

Am J Ophthalmol

authors

Reed JB,Morse LS,Schwab IR

doi

10.1016/s0002-9394(99)80163-9

subject

Has Abstract

pub_date

1998-03-01 00:00:00

pages

409-11

issue

3

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(99)80163-9

journal_volume

125

pub_type

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