Acute lupus choroidopathy: multimodal imaging and differential diagnosis from central serous chorioretinopathy

Int Ophthalmol. 2018 Feb;38(1):369-374. doi: 10.1007/s10792-016-0433-y. Epub 2017 Jan 3.

Abstract

Importance: Systemic lupus erythematosus (SLE) is a thoroughly examined multi-organ disease whose common ocular complications are also well documented. However, SLE choroidopathy, being a rare ocular complication, is needed to be better understood, in order to make the differential diagnosis from clinical conditions such as central serous chorioretinopathy and provide adequate prompt treatment.

Objective: To provide a clear understanding for the clinical course of SLE choroidopathy by the help of enhanced depth imaging optical coherence tomography, fluorescein angiography, and indocyanine angiography.

Design: The study is designed as a case presentation, consisting of the physical examination results and the data gathered by the relevant screening methods for each visit, applied by the same ophthalmologists and technicians.

Setting: The visits were organized as same day examinations as needed, in a university hospital which works as a referral center.

Keywords: Central serous chorioretinopathy; Choroid; Choroidopathy; Nephritis; Ocular; Retinal detachment; Serous; Systemic lupus erythematosus.

Publication types

  • Case Reports

MeSH terms

  • Central Serous Chorioretinopathy / diagnosis*
  • Choroid / pathology*
  • Choroid Diseases / diagnosis*
  • Choroid Diseases / etiology
  • Diagnosis, Differential
  • Female
  • Fluorescein Angiography / methods*
  • Fundus Oculi
  • Humans
  • Lupus Erythematosus, Systemic / complications
  • Lupus Erythematosus, Systemic / diagnosis*
  • Multimodal Imaging / methods*
  • Retina / pathology*
  • Tomography, Optical Coherence / methods*
  • Visual Acuity
  • Young Adult