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

Nora Aldhefeery; Naser Alhadhood; Amjad Alkadi

doi:10.12659/AJCR.942085

28 November 2023 : Case report Kuwait

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

Unusual clinical course

Nora Aldhefeery^1ABEF*, Naser Alhadhood^2AB, Amjad Alkadi^3BD

DOI: 10.12659/AJCR.942085

Am J Case Rep 2023; 24:e942085

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Figure 3. Fundus fluorescein angiography (FFA) of the right (A) and left (B) eyes done after 6 months, showing bilateral areas of peripheral and macular hypo-fluorescence, multiple hyper-fluorescent knob-like aneurysmal dilatations with vascular leaking and staining. The color fundus photographs of the right (C) and left (D) eyes at the same time of FFA, showing bilateral scattered cotton-wool spots, dot and blot hemorrhage, and CME. In addition, both (C) and (D) show bilateral scattered intraretinal microvascular abnormalities (IRMAs) with scattered collateral vessels.

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

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