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28 November 2023: Articles

Bilateral Retinal Vasculitis as Initial Presentation of Systemic Lupus Erythematosus with Secondary Antiphospholipid Syndrome

Unusual clinical course

Nora Aldhefeery A* , Naser Alhadhood A , Amjad Alkadi B

DOI: 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).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923