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Arch Soc Esp Oftalmol. 2014 Feb;89(2):66-9. doi: 10.1016/j.oftal.2012.06.030. Epub 2012 Oct 8.

[Retinal vasculopathy in systemic lupus erythematosus: a case of lupus vasculitis and a case of non-vasculitis venous occlusion].

[Article in Spanish]

Author information

1
Unidad de Retina y Segmento Posterior, Institut Clínic de Oftalmología, Hospital Clínic y Provincial de Barcelona, Barcelona, España. Electronic address: m.figueras.roca@gmail.com.
2
Unidad de Retina y Segmento Posterior, Institut Clínic de Oftalmología, Hospital Clínic y Provincial de Barcelona, Barcelona, España.

Abstract

CLINIC CASE:

Two patients with systemic lupus erythematosus presented with vision loss, and were diagnosed with retinal vasculopathy. Patient 1 had occlusive vasculitis with macular oedema and retinal ischaemia in the right eye. Corticosteroid therapy was increased and intravenous rituximab added. Intravitreal therapy and panretinal photocoagulation were performed. Patient 2 presented with a left central retinal vein occlusion without vasculitis but was on anticoagulation therapy due to having an antiphospholipid syndrome. Both patients maintained a stable visual acuity.

DISCUSSION:

Occlusive lupus retinal vasculitis has severe visual and systemic consequences (central nervous system vasculitis). It is crucial to differentiate it from standard vascular occlusion syndromes.

KEYWORDS:

Antiphospholipid syndrome; Lupus; Oclusión venosa; Rituximab; Síndrome antifosfolípido; Vasculitis; Vein occlusion

PMID:
24269411
DOI:
10.1016/j.oftal.2012.06.030
[Indexed for MEDLINE]

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