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Case Reports
. 2017 Aug 18;42(2):117-121.
doi: 10.1080/01658107.2017.1355395. eCollection 2018 Apr.

Papilloedema and Autoimmune Retinopathy from Systemic Lupus Erythematosus

John J Chen  1   2 , Neeraj Kumar  2 , Kathleen M McEvoy  2 , Jacqueline A Leavitt  1
Affiliations
Case Reports

Papilloedema and Autoimmune Retinopathy from Systemic Lupus Erythematosus

John J Chen et al. Neuroophthalmology. .

Abstract

A 33-year-old female presented with bilateral papilloedema and constricted visual fields from autoimmune retinopathy. She then developed a painful peripheral neuropathy that led to further work-up and the diagnosis of systemic lupus erythematosus. Papilloedema and autoimmune retinopathy from systemic lupus erythematosus is a unique presentation.

Keywords: Autoimmune retinopathy; idiopathic intracranial hypertension; papilloedema; pseudotumor cerebri; systemic lupus erythematosus.

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Figures

Figure 1.
Figure 1.
Fundus photos demonstrate bilateral disc oedema, left greater than right (A). Optical coherence tomography (OCT) shows thickening of the retinal nerve fibre layer, left greater than right (B). 24-2 Humphrey visual fields show severe constriction of both eyes (C).
Figure 2.
Figure 2.
Manual visual fields demonstrate bilateral ring scotomas (A), which correspond to areas of ellipsoid photoreceptor loss in the parafoveal region on OCT (B). ERG shows bilateral severe reduction of both rod and cone function (C).
Figure 3.
Figure 3.
Five-month follow-up later demonstrates significant improvement in the disc oedema (A). Humphrey visual fields show severe constriction in both eyes, which is unchanged (B).
See this image and copyright information in PMC

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