Retinal vasculitis in systemic lupus erythematosus: an indication of active disease

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Umi Kalthum Md Noh *
Aida Zairani A. Zahidin
Then Kong Yong
(*) Corresponding Author:
Umi Kalthum Md Noh | umi_fizul@yahoo.com

Abstract

A 26-year-old woman with a recent flare-up of systemic lupus erythematosus presented with peripheral retinal hemorrhages at a routine check-up. She is on a tapering dose of immunosuppressive agents. Her visual acuity was good. Fluorescein angiogram revealed vasculitic changes with capillary non-perfusion areas. A few weeks later, she developed cerebral lupus with advanced lupus nephritis. Immunosuppressive therapy was restarted and panretinal photocoagulation was delivered. Her visual acuity remained stable, despite development of a cataract from prednisolone therapy.

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Author Biography

Umi Kalthum Md Noh, Department of Ophthalmology, Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur

Lecturer and Ophthalmologist