28 November 2023
: Case report
Bilateral Retinal Vasculitis as Initial Presentation of Systemic Lupus Erythematosus with Secondary Antiphospholipid Syndrome
Unusual clinical course
Nora Aldhefeery1ABEF*, Naser Alhadhood2AB, Amjad Alkadi3BDDOI: 10.12659/AJCR.942085
Am J Case Rep 2023; 24:e942085
Figure 1. The color fundus photographs of the left (A) and right (B) eyes, showing bilateral diffuse multiple cotton-wool spots, dot and blot hemorrhage covering the posterior pole with venous congestion, and beading and cystoid macular edema (CME) in the fovea of both eyes. The left (C) and right (D) eyes, showing the fundus after 2 months, with residual cotton-wool spots, dot and blot hemorrhage, and CME. The left (E) and right (F) eyes, showing the disappearance of cotton-wool spots, dot and blot hemorrhage, with pan-retinal photocoagulation (PRP) marks after 18 months.