Gheorghiu M
Policlinica Griviţa, Bucureşti.
Oftalmologia. 1996 Apr-Jun;40(2):100-4.
Retinal involvement in systemic lupus erythematosus is dominated by a microangiopathy of unknown aetiology, with occlusive consequences. Although cases of severe retinal ischaemia have been recently described, from a statistic point of view, the occlusive phenomena seem to have declined over the last decades, under the influence of a better therapy and follow-up of the disease. The relatively high incidence of papilloedema and the fact that this oedema might be unilateral or asymptomatic are pointed out. The importance of ophthalmic examination in patients with SLE-like syndromes or in seronegative cases of SLE is revealed. Other ocular manifestation of the disease are reviewed.
系统性红斑狼疮累及视网膜主要表现为病因不明的微血管病变，并产生阻塞性后果。尽管近期已有严重视网膜缺血病例的报道，但从统计学角度来看，在疾病得到更好治疗和随访的影响下，过去几十年阻塞性现象似乎有所减少。文中指出视乳头水肿的发病率相对较高，且这种水肿可能是单侧的或无症状的。揭示了眼科检查在患有类狼疮综合征患者或血清学阴性的系统性红斑狼疮病例中的重要性。还对该疾病的其他眼部表现进行了综述。
