Henoch-Schonlein purpura with bilateral central retinal artery occlusion

Henoch-Schonlein (H-S) purpura is an acute leucocytoclastic vasculitis that primarily affects children and mainly involves skin, joints, gastrointestinal tract, and kidney. 1 Reported ophthalmic manifestations of Henoch-Schonlein purpura include episcleritis, scleritis, keratitis, anterior uveitis, and central retinal vein occlusion. 2- 4 However, central retinal artery occlusion, to the best of our knowledge, have not been reported. According to the previous reports, the ocular manifestations of H-S purpura are rare, including episcleritis, scleritis, keratitis, anterior uveitis, and central retinal vein occlusion. 2- 4 In this case, H-S purpura vasculitis may have an important role in the pathogenesis of bilateral central retinal artery occlusion.