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Rheumatology: 1 case of systemic lupus erythematosus complicated with retinal vascular occlusion in both eyes

 Last Update: 2021-10-19
 Source: Internet
 Author: User

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A 19-year-old woman presented to an ophthalmology clinic with sudden painless vision loss in both eyes
.

Vision is the hand movement of the right eye close to the face (HMCF) and the light perception of the left eye (HMCF)

Fundus fluorescein angiography confirmed that the right eye had central retinal vascular occlusion (RVO) and the left eye had branched RVO
.

There were no significant differences in head MR angiography, antithrombin III, and antiphospholipid antibodies

The treatment method is intravitreal injection of anti-VEGF drugs, panretinal photocoagulation and oral prednisolone (1 mg/d for 2 weeks), and intravenous injection of cyclophosphamide (750 mg/m2) 6 times a month
.

Retinal edema, fever and joint pain disappeared after 4 weeks

(A) The montage image of the right eye showed optic disc edema, pallor edema of the retina, cherry red spots, sparse cilia-retinal artery area, venous dilation and distortion, peripheral inflammation area with arteriolar attenuation, and extensive superficial retina and Deep bleeding
.

There are also sheath-like structures around the surrounding blood vessels

Literature source: Subina Narang, Mannat Giran, Sarabmeet Singh Lehl2, Bilateral combined retinal vascular occlusion as a presenting feature in a case of systemic lupus erythematosus, Rheumatology 2021;60:4949-4950

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