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Am J Ophthalmol. 1998 Mar;125(3):409-11.

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

Author information

1
Department of Ophthalmology, University of California, Davis, Sacramento 95816, USA.

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.

PMID:
9512170
DOI:
10.1016/s0002-9394(99)80163-9
[Indexed for MEDLINE]

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