Pattern dystrophy of the retinal pigment epithelium in Crohn's disease - Acase report

The authors describe a case of bilateral pattern dystrophy of the retinal p igment epithelium in a man with Crohn's disease. The patient was examined e very 6 months over a follow-up of 30 months. The right eye presented a macr oreticular dystrophy while in the left eye a butterfly pattern dystrophy wa s diagnosed. During the follow-up period the retinal lesion changed; in the right eye the lesion increased in size, while in the left eye the morpholo gy of the lesion passed from the butterfly to Sjogren's type. This report a dds a new ocular manifestation of Crohn's disease, emphasizing the importan ce of the ophthalmological follow-up in the recognition of posterior segmen t complications associated with this inflammatory bowel disease. Copyright (C) 2000 S. Karger AG, Basel.