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Case Reports
. 2008 Jan-Feb;56(1):72-3.
doi: 10.4103/0301-4738.37605.

An unusual presentation of lupus retinopathy

Dinesh K Sahu  1
Affiliations
Case Reports

An unusual presentation of lupus retinopathy

Dinesh K Sahu. Indian J Ophthalmol. 2008 Jan-Feb.

Abstract

We have described an unusual presentation of lupus retinopathy in the form of macular arterio-arterial and arterio-venular shunts with extensive macular ischemia as a presenting sign.

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Figures

Figure 1
Figure 1
(A-B) Color photograph of both the eyes at presentation showing multiple cotton wool spots (black arrow) scattered all over posterior pole. Also notice the arterio-arterial and arterio-venous shunts across the macular area (white arrow) in the left eye. (C) Color photograph of the right eye at final visit showing complete disappearance of cotton wool spots. (D) Color photograph of the left eye at final visit showing extensive tractional retinal detachment (black arrow) and severe optic disc pallor
Figure 2
Figure 2
(A-B) Fluorescein angiograms of the left eye demonstrating extensive leakage and staining of the arterial tree and optic disc. Arterio-arterial and arterio-venous shunts along with extensive macular ischemia are clearly evident. (C-D) Fluorescein angiograms of the right eye showing extensive leakage and staining of the arterial tree sparing the foveal area and staining of the optic disc
See this image and copyright information in PMC

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