Severe retinal vasculitis in systemic lupus erythematosus leading to vision threatening paracentral acute middle maculopathy

Systemic lupus erythematosus can affect any organ system at presentation and throughout its course. Lupus retinal vasculitis is responsible for the visual loss of variable severity and typically ascribed to the involvement of pre-capillary superficial arterial vasculature. Using multimodal imaging techniques and electrophysiology, we demonstrate the first-ever case of severe lupus retinal vasculitis resulting in the rare association of paracentral acute middle maculopathy. The findings showcase the involvement of both superficial and deep retinal capillary vasculature and the localisation of retinal dysfunction. This precise evaluation facilitated the timely use of combination immunomodulatory therapy with localised pan-retinal laser photocoagulation, resulting in the preservation of vision.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:5

Enthalten in:

Modern rheumatology case reports - 5(2021), 2 vom: 05. Juli, Seite 265-271

Sprache:

Englisch

Beteiligte Personen:

Chin, Daniel [VerfasserIn]
Gan, Nicola Y [VerfasserIn]
Holder, Graham E [VerfasserIn]
Tien, Melissa [VerfasserIn]
Agrawal, Rupesh [VerfasserIn]
Manghani, Mona [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Immunosuppression
Multimodal imaging
Paracentral acute middle maculopathy
Retinal vasculitis
Systemic lupus erythematosus

Anmerkungen:

Date Completed 30.11.2021

Date Revised 30.11.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/24725625.2021.1893961

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM321853342