Bilateral Retinopathy and Optic Neuropathy Associated with Systemic Sclerosis

To report a rare case of bilateral retinopathy and optic neuropathy in a patient of systemic sclerosis (SSc). Retrospective case report. A 30-year-old South Indian lady presented with bilateral pale disc oedema and telangiectatic disc vessels and bilateral drusen-like deposits (DLDs) in the macula....

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Bibliographic Details
Published in:Ocular immunology and inflammation 2020-07, Vol.28 (5), p.802-805
Main Authors: Baharani, Abhilasha, Reddy P., Raja Rami
Format: Article
Language:English
Subjects:
anticentromere antibody
drusen-like deposits
optic neuropathy
retinopathy
Systemic sclerosis
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Summary:To report a rare case of bilateral retinopathy and optic neuropathy in a patient of systemic sclerosis (SSc). Retrospective case report. A 30-year-old South Indian lady presented with bilateral pale disc oedema and telangiectatic disc vessels and bilateral drusen-like deposits (DLDs) in the macula. Fundus fluorescein angiography additionally revealed microaneurysmal dilatation and leakage from peripheral retinal vasculature and patchy choroidal ischemia. She had defective colour vision (OS) and a central scotoma with enlarged blind spot (OD) and centrocecal scotoma (OS). Systemic features and a strongly positive anticentromere antibody led to the diagnosis of limited cutaneous SSc with a score of 12 on the ACR/EULAR criteria. We describe a rare case of bilateral retinopathy with DLDs and bilateral optic neuropathy in a non-hypertensive patient who was not previously diagnosed as SSc. A prior association of DLDs have not been described in SSc (PubMed Search).
ISSN:0927-3948
1744-5078
DOI:10.1080/09273948.2019.1629604