J Korean Ophthalmol Soc.  2016 May;57(5):847-852. 10.3341/jkos.2016.57.5.847.

A Case of Focal Laser Photocoagulation Added to Systemic Immunomodulatory Therapy for Bilateral Lupus Chorioretinopathy

• Kim DG
• Yoon CK
• Kim HW

• KMID: 2212731
• DOI: http://doi.org/10.3341/jkos.2016.57.5.847

Abstract

PURPOSE
To report a patient diagnosed with bilateral lupus chorioretinopathy who received focal laser photocoagulation.
CASE SUMMARY
A 20-year-old female presented with decreased vision in her left eye. She had been treated with systemic corticosteroids, immunosuppressants, plasmapheresis and hemodialysis during systemic lupus erythematosus flare-up. Retinal hemorrhage and cotton wool spots were observed in both eyes on funduscopic examination. Optical coherence tomography showed bilateral serous retinal detachment. Flurorescein angiography (FA) revealed multiple leakages of dye in both maculae. Despite improvements of the systemic disease, subretinal fluid was not resolved. Focal laser photocoagulation was applied to multiple leakage spots identified on FA in both eyes and serous detachment improved. After several months, additional focal laser photocoagulation was performed because there was a small amount of subretinal fluid, which was completely resolved.

Keyword

Chorioretinopathy; Choroidopathy; Focal laser photocoagulation; Systemic lupus erythematosus

MeSH Terms

Adrenal Cortex Hormones
Angiography
Female
Humans
Immunomodulation*
Immunosuppressive Agents
Light Coagulation*
Lupus Erythematosus, Systemic
Plasmapheresis
Renal Dialysis
Retinal Detachment
Retinal Hemorrhage
Subretinal Fluid
Tomography, Optical Coherence
Wool
Young Adult
Adrenal Cortex Hormones
Immunosuppressive Agents

Reference

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