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

Umi Kalthum Md Noh; Aida Zairani A. Zahidin; Then Kong Yong

doi:10.4081/cp.2012.e54

https://doi.org/10.4081/cp.2012.e54

Umi Kalthum Md Noh | umi_fizul@yahoo.com Department of Ophthalmology, Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Aida Zairani A. Zahidin Department of Ophthalmology, Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Then Kong Yong Department of Ophthalmology, Pusat Perubatan Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

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