A Case of Severe Retinal Vaso-occlusive Disease in Systemic Lupus Erythematosus.

Jung, Nag Hong; Kim, Si Yeol

Case Report

Journal of the Korean Ophthalmological Society 1993;34(12):1287-1292.
Published online December 1, 1993.

A Case of Severe Retinal Vaso-occlusive Disease in Systemic Lupus Erythematosus.

Nag Hong Jung, Si Yeol Kim

Department of Ophthalmology, School of Medicine, Kyungpook National University, Taegu, Korea.

전신성 홍반성루푸스 환자에 발생한 심한 망막 혈관 폐쇄증 1 예

정낙홍(Nag Hong Jung),김시열(Si Yeol Kim)

Abstract

Systemic lupus erythematosus(SLE) is a multisystem disorder in which the various organs are damaged by deposition of autoantibodies and immune complex. Ocular man-ifestations of SLE are involvement of the eyelids, conjunctiva, cornea, episclera, retina and optic nerve. Retinal vascular manifestations are the most common form of ocular manifestation. Most frequently these consist of cotton wool spots, retinal hemorrhage, but occasionally more severe retinal vaso'occlusive disease has been noted. The authors experienced 22 year'old woman who had SLE and severe retinal vaso'occlusive disease. Her left eye was treated with focal photocoagulation and vitrectomy but the visual acuity was F.C. 60 cm due to ischemic state of parafoveal capillary network. Right eye maintain visual acuity of 0.9 by photocoagulation and vitrectomy for vitreous hemorrhage and tractional retinal detachment. As shown in this case, the SLE patients who developed vitreous hemorrhage due to extensive retinal vaso-occlusive disease may have very poor visual prognosis. So periodic ocular examinations and appropriate treatment for vascular occlusion can prevent serious visual loss in SLE.

Key Words: Photocoagulation;Retinal vaso-occlusive disease;Systemic lupus erythematosus(SLE);Vitrectomy