J Korean Ophthalmol Soc.  1993 Dec;34(12):1287-1292.

A Case of Severe Retinal Vaso-occlusive Disease in Systemic Lupus Erythematosus

• Jung NH
• Kim SY

Abstract

Systemic lupus erythematosus(SLE) is a multisystem disorder in which the various organs are damaged by deposition of autoantibodies and immune complex. Ocular man-ifestations of SLE are involvement of the eyelids, conjunctiva, cornea, episclera, retina and optic nerve. Retinal vascular manifestations are the most common form of ocular manifestation. Most frequently these consist of cotton wool spots, retinal hemorrhage, but occasionally more severe retinal vaso'occlusive disease has been noted. The authors experienced 22 year'old woman who had SLE and severe retinal vaso'occlusive disease. Her left eye was treated with focal photocoagulation and vitrectomy but the visual acuity was F.C. 60 cm due to ischemic state of parafoveal capillary network. Right eye maintain visual acuity of 0.9 by photocoagulation and vitrectomy for vitreous hemorrhage and tractional retinal detachment. As shown in this case, the SLE patients who developed vitreous hemorrhage due to extensive retinal vaso-occlusive disease may have very poor visual prognosis. So periodic ocular examinations and appropriate treatment for vascular occlusion can prevent serious visual loss in SLE.

Keyword

Photocoagulation; Retinal vaso-occlusive disease; Systemic lupus erythematosus(SLE); Vitrectomy

MeSH Terms

Antigen-Antibody Complex
Autoantibodies
Capillaries
Conjunctiva
Cornea
Eyelids
Female
Humans
Light Coagulation
Lupus Erythematosus, Systemic*
Optic Nerve
Prognosis
Retina
Retinal Detachment
Retinal Hemorrhage
Retinaldehyde*
Traction
Visual Acuity
Vitrectomy
Vitreous Hemorrhage
Wool
Antigen-Antibody Complex
Autoantibodies
Retinaldehyde