Bilateral macular infarction as an ocular manifestation of systemic lupus erythematosus (SLE)

Chih-Ling Hu, Kai-Ling Peng Department of Ophthalmology, Chi Mei Medical Center, Tainan, Taiwan, Republic of China Abstract: We report a rare case of bilateral macular infarction as an ocular presenting sign of systemic lupus erythematosus (SLE). A 29-year-old woman presented to our ophthalmologi...

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Autores principales:	Hu CL, Peng KL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/22c6285ca3374e23af72d4814c961d67
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spelling	oai:doaj.org-article:22c6285ca3374e23af72d4814c961d672021-12-02T07:10:57ZBilateral macular infarction as an ocular manifestation of systemic lupus erythematosus (SLE)1177-5483https://doaj.org/article/22c6285ca3374e23af72d4814c961d672014-09-01T00:00:00Zhttp://www.dovepress.com/bilateral-macular-infarction-as-an-ocular-manifestation-of-systemic-lu-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Chih-Ling Hu, Kai-Ling Peng Department of Ophthalmology, Chi Mei Medical Center, Tainan, Taiwan, Republic of China Abstract: We report a rare case of bilateral macular infarction as an ocular presenting sign of systemic lupus erythematosus (SLE). A 29-year-old woman presented to our ophthalmologic clinic with a 1-week history of progressive visual loss in her left eye after she had visited a rheumatologic clinic where SLE was diagnosed. At examination, best-corrected visual acuity (BCVA) of the right eye was 6/6, and for the left was counting fingers. Fundus examination revealed perivascular hard exudates along some branches of vessels in both eyes. After pulse therapy, her BCVA in the right eye declined to 6/30 and in the left improved to 3/60. She was administered sub-Tenon’s injections of triamcinolone acetonide 50 mg/week in both eyes for 3 weeks. Her BCVA improved to 3/6 in her right eye and remained at 3/60 in her left eye. Macular infarction is an uncommon but most severe complication of SLE. Early and regular exam of the fundus in patients with SLE is necessary to avoid progression of severe ocular complications. Keywords: bilateral macular infarction, systemic lupus erythematosusHu CLPeng KLDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 1845-1848 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Hu CL Peng KL Bilateral macular infarction as an ocular manifestation of systemic lupus erythematosus (SLE)
description	Chih-Ling Hu, Kai-Ling Peng Department of Ophthalmology, Chi Mei Medical Center, Tainan, Taiwan, Republic of China Abstract: We report a rare case of bilateral macular infarction as an ocular presenting sign of systemic lupus erythematosus (SLE). A 29-year-old woman presented to our ophthalmologic clinic with a 1-week history of progressive visual loss in her left eye after she had visited a rheumatologic clinic where SLE was diagnosed. At examination, best-corrected visual acuity (BCVA) of the right eye was 6/6, and for the left was counting fingers. Fundus examination revealed perivascular hard exudates along some branches of vessels in both eyes. After pulse therapy, her BCVA in the right eye declined to 6/30 and in the left improved to 3/60. She was administered sub-Tenon’s injections of triamcinolone acetonide 50 mg/week in both eyes for 3 weeks. Her BCVA improved to 3/6 in her right eye and remained at 3/60 in her left eye. Macular infarction is an uncommon but most severe complication of SLE. Early and regular exam of the fundus in patients with SLE is necessary to avoid progression of severe ocular complications. Keywords: bilateral macular infarction, systemic lupus erythematosus
format	article
author	Hu CL Peng KL
author_facet	Hu CL Peng KL
author_sort	Hu CL
title	Bilateral macular infarction as an ocular manifestation of systemic lupus erythematosus (SLE)
title_short	Bilateral macular infarction as an ocular manifestation of systemic lupus erythematosus (SLE)
title_full	Bilateral macular infarction as an ocular manifestation of systemic lupus erythematosus (SLE)
title_fullStr	Bilateral macular infarction as an ocular manifestation of systemic lupus erythematosus (SLE)
title_full_unstemmed	Bilateral macular infarction as an ocular manifestation of systemic lupus erythematosus (SLE)
title_sort	bilateral macular infarction as an ocular manifestation of systemic lupus erythematosus (sle)
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/22c6285ca3374e23af72d4814c961d67
work_keys_str_mv	AT hucl bilateralmacularinfarctionasanocularmanifestationofsystemiclupuserythematosussle AT pengkl bilateralmacularinfarctionasanocularmanifestationofsystemiclupuserythematosussle
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Bilateral macular infarction as an ocular manifestation of systemic lupus erythematosus (SLE)

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