Role of Angiography in Systemic Lupus Erythematosus-Induced Choroiditis

Purpose: To report a case of systemic lupus erythematosus-induced choroidal vasculitis. Methods: A 34-year-old woman with a long-standing history of systemic lupus erythematosus had a sudden painless loss of vision in the right eye over 12 hours. Ocular examination revealed a visual acuity of counti...

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Bibliographic Details
Published in:Ocular immunology and inflammation 2018-11, Vol.26 (8), p.1146-1149
Main Authors: Lee, Kenneth Rohan, Peng, Lai Yin, Iqbal, Tajunisah Begum, Subrayan, Visvaraja
Format: Article
Language:English
Subjects:
Administration, Oral
Adult
Choroidal Vasculitis
Choroiditis
Choroiditis - diagnosis
Choroiditis - drug therapy
Choroidopathy
Coloring Agents - administration & dosage
Female
Fluorescein Angiography
Glucocorticoids - therapeutic use
Humans
Immunoglobulins, Intravenous - therapeutic use
Indocyanine Green - administration & dosage
Indocyanine Green Angiography (ICGA)
Infusions, Intravenous
Lupus Erythematosus, Systemic - diagnosis
Lupus Erythematosus, Systemic - drug therapy
Magnetic Resonance Imaging
Methylprednisolone - therapeutic use
Prednisolone - therapeutic use
Systemic Lupus Erythematosus
Tomography, Optical Coherence
Vision Disorders - diagnosis
Vision Disorders - drug therapy
Visual Acuity
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Summary:Purpose: To report a case of systemic lupus erythematosus-induced choroidal vasculitis. Methods: A 34-year-old woman with a long-standing history of systemic lupus erythematosus had a sudden painless loss of vision in the right eye over 12 hours. Ocular examination revealed a visual acuity of counting fingers of 1 foot on the right eye and 20/20 on the left. There was a relative afferent pupillary defect on the right side with a pink, distinct optic disk margin. Results: Optical coherence tomography of the macula and fundus fluorescein angiogram for the eyes were normal. The MRI brain and orbit with the cerebral MRA did not show signs of optic neuritis or occipital vasculitic changes. However, the indocyanine green angiography revealed patches of ill-defined areas of choroidal hypofluorescence in the early- to mid-phase in the macula region. Conclusion: ICGA becomes the crucial tool in unmasking the presence of choroidal vasculitis.
ISSN:0927-3948
1744-5078
DOI:10.1080/09273948.2017.1298821