Central Retinal Vein Occlusion as a Rare Ocular Complication of Ulcerative Colitis: A Case Report
Filip Ernoic1, Marinko Marušic2, Krešimir Luetic3, Benedict Rak4, Marin Medugorac5, Marina Ikic Matijaševic61Department of Gastroenterology and Hepatology, University Hospital Sveti Duh, Zagreb, Croatia 2Faculty of Health Studies, University of Rijeka, Rijeka, Croatia 3Department of Internal Medicine, School of Medicine, University of Zagreb, Zagreb, Croatia 4Department of Ophthalmology, University Hospital Sveti Duh, Zagreb, Croatia 5Department of Hematology, University Hospital Sveti Duh, Zagreb, Croatia 6Department of Clinical Immunology, Rheumatology and Pulmonology, University Hospital Sveti Duh, Zagreb, Croatia
Inflammatory bowel diseases (IBDs) have numerous extraintestinal manifestations, and ocular manifestations are one of the most common. Central retinal vein occlusion (CRVO) is a rare and serious extraintestinal manifestation. This case report presents a 53-year-old female patient with steroid-dependent ulcerative colitis who arrived at the emergency eye clinic with a 1-month history of blurred vision in her left eye. An initial fundus examination revealed a massive CRVO. Treatment with an intravitreal application of antivascular endothelial growth factor therapy with bevacizumab was started 7 months after the diagnosis. After 5 years of follow-up, no satisfactory treatment success was achieved. CRVO is a rare but very serious extraintestinal manifestation of IBD. An interdisciplinary approach is crucial for early diagnosis and the early start of treatment for a better outcome.