Alzahrani Ahmed Sameer, Alqahtani Wijdan, Hazzazi Mohammad A, Alqahtani Abdullah S
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Jeddah, SAU.
College of Medicine, King Khalid University, Abha, SAU.
Cureus. 2022 Apr 5;14(4):e23843. doi: 10.7759/cureus.23843. eCollection 2022 Apr.
A 15-year-old girl presented to the emergency department with a history of bilateral blurred vision for one day, with greater severity in the right eye. Fundus examinations revealed cotton wool spots, dot hemorrhage, and hard exudate. She underwent optical coherence tomography angiography (OCTA), which showed the presence of macula ischemia, decreased vascular density, mild retinal fluid, severe ischemia, some macular edema, and vascular sheathing, indicating active vasculitis in the right eye. Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that can affect many organs in the body, including the eye. Ocular involvement is one of the most well-known features. Retinal vasculitis is a rare complication of SLE that is characterized by vascular sheathing that can progress to vaso-occlusion. We report the clinical features of SLE using OCTA.
一名15岁女孩因双眼视力模糊一天前来急诊科就诊，右眼症状更严重。眼底检查发现棉絮斑、点状出血和硬性渗出。她接受了光学相干断层扫描血管造影（OCTA），结果显示存在黄斑缺血、血管密度降低、轻度视网膜积液、严重缺血、一些黄斑水肿和血管鞘，提示右眼存在活动性血管炎。系统性红斑狼疮（SLE）是一种慢性自身免疫性疾病，可影响身体的许多器官，包括眼睛。眼部受累是最广为人知的特征之一。视网膜血管炎是SLE的一种罕见并发症，其特征是血管鞘形成，可发展为血管闭塞。我们报告了使用OCTA检查SLE的临床特征。
