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 2. OCT of the left (A) and right (B) eyes, showing bilateral CME and subfoveal neurosensory detachment. The foveal contour is widened irregular in (A) and in (B) it is shallow and effaced. The left (C) and right (D) eyes, showing bilateral residual CME after 2 months. Eighteen months later, the left (E) and right (F) eyes, showing the disappearance of CME but wide foveal contour in the right eye and mild atrophic changes in the para-foveal area indicating ischemia insult. Also, (C) shows temporal para-foveal inner retinal hyperreflectivity, which most probably corresponds to an inner retinal infarction such as cotton-wool spot, which caused focal temporal para-foveal inner retinal atrophy (E).