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Case Reports
. 2022 Oct 8;14(10):e30081.
doi: 10.7759/cureus.30081. eCollection 2022 Oct.

Bilateral Lupus Chorioretinopathy in a Patient With Active Systemic Lupus Erythematosus

Sharoon David  1 , Sarah O Davidson  1 , Ruben Grigorian  1
Affiliations
Case Reports

Bilateral Lupus Chorioretinopathy in a Patient With Active Systemic Lupus Erythematosus

Sharoon David et al. Cureus. .

Abstract

Ocular involvement is commonly seen in systemic lupus erythematosus (SLE). However, chorioretinopathy is an easily missed ocular manifestation of SLE. Early recognition and a multidisciplinary treatment approach can play a key role in reducing the ocular and systemic morbidity seen with this condition. This case report describes a patient with active SLE who presented with bilateral lupus chorioretinopathy. The patient demonstrated a significant improvement in ocular symptoms once the systemic disease was controlled.

Keywords: chorioretinopathy; choroidopathy; lupus; ocular manifestations; retinopathy; serous retinal detachment; systemic lupus erythematosus.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Optical coherence tomography OU - initial visit: macular edema with lipid exudates, subretinal fluid (white arrow), and intraretinal fluid (black arrow)
Figure 2
Figure 2. Ultra-wide field fundus photography OU - initial visit: intraretinal deposits (black arrows), intraretinal and subretinal hemorrhages (white arrow), and tortuous veins
Figure 3
Figure 3. Fluorescein angiography OU - initial visit: multiple hypofluorescent spots consistent with intraretinal hemorrhages and hyperfluorescent areas (black arrows) consistent with dye leakage during the full venous phase
Figure 4
Figure 4. Optical coherence tomography OU - follow-up visit: multiple intraretinal deposits (black arrow) and thinning of the outer retina (absence of ellipsoid zone). Some cystic changes were also noted in the right eye (white arrow)
Figure 5
Figure 5. Ultra-wide field fundus photography OU - follow-up visit: multiple intraretinal deposits (white arrows), parafoveal/perifoveal depigmentation with few intraretinal hemorrhages, and tortuosity of veins bilaterally
Figure 6
Figure 6. Fluorescein angiography OU - follow-up visit: enlarged foveal avascular zone (FAZ) and multiple hypofluorescent areas consistent with intraretinal hemorrhages (white arrows). No evidence of leakage was present
See this image and copyright information in PMC

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