Department of Ophthalmology, Meram Faculty of Medicine, Selcuk University, Konya, Turkey.
Lupus. 2011 Oct;20(10):1076-8. doi: 10.1177/0961203310397411. Epub 2011 May 11.
A 36-year-old female followed with the diagnosis of systemic lupus erythematosus complained of bilateral visual loss. Ophthalmological examination revealed disc edema with irregular borders, edematous and pale retina with widespread cotton wool spots, intraretinal hemorrhages and serous retinal detachment in both eyes. Optical coherence tomography (OCT) scans showed intraretinal and subretinal fluid creating cystic cavities with central subfield macular thickness values of 994 and 912( )µm in the right and left eye, respectively. The follow-up scans after the treatment with systemic steroid, acetylsalicylic acid and cyclosporine documented resolution of this fluid accumulation and a decrease in macular thickness measurements. These clearly demonstrated that OCT, which is a fast, objective and non-invasive technology, may be an adjunctive imaging tool for the diagnosis and follow-up of lupus choroidopathy.
一位 36 岁的女性，患有系统性红斑狼疮，主诉双侧视力丧失。眼科检查显示双侧视盘水肿，边界不规则，视网膜水肿、苍白，伴有广泛棉絮斑、视网膜内出血和浆液性视网膜脱离。光学相干断层扫描（OCT）显示视网膜内和视网膜下积液形成囊性腔，右眼和左眼的中心视野黄斑厚度值分别为 994 和 912( )µm。在接受全身类固醇、乙酰水杨酸和环孢素治疗后的随访扫描显示，这种积液积聚得到了缓解，黄斑厚度测量值也有所降低。这些结果清楚地表明，OCT 是一种快速、客观、非侵入性的技术，可能成为狼疮性脉络膜病变诊断和随访的辅助成像工具。
