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Volume 33, Issue 4, December 2022



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Mediterr J Rheumatol 2022;33(4):455-8
Unusual Cause of Vision Loss in a Case of Lupus
Authors Information

1. Department of Clinical Immunology and Rheumatology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India

2. Department of Opthalmology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India

3. Department of Ophthalmology, S.C.B Medical College, Cuttack, Odisha, India

 P Padhan, MK Das, A Pradhan, D Maikap

Abstract

Lupus can affect vision in various ways, commonly due to vasculitic retinopathy, and can also result from ischemic optic neuropathy secondary to antiphospholipid syndrome. Anaemic retinopathy is most likely to occur in patients with severe anaemia or associated   with thrombocytopenia. Causes of decreased visual acuity in anaemia include haemorrhages involving the macula, macular oedema, optic disc oedema and ischemic optic neuropathy. We herein describe an unusual cause of loss of vision in a lupus patient associated with severe anaemia and thrombocytopenia. Ocular examination was suggestive of anaemic retinopathy. Her vision improved with concomitant resolution of retinal findings in 1 month after treatment for lupus with anaemia correction. Hence, even though vision loss in lupus is dreadful, retinal changes in fundus examination should carefully looked at to rule out anaemic retinopathy, as it is almost always reversible with correction of anaemia unlike lupus retinopathy.

Cite this article as: Padhan P, Das MK, Pradhan A, Maikap D. Unusual Cause of Vision Loss in a Case of Lupus. Mediterr J Rheumatol 2022;33(4):455-8.

https://doi.org/10.31138/mjr.33.4.455

Article Submitted: 31 May 2021; Revised Form: 21 Dec 2021; Article Accepted: 25 Jan 2022; Available Online: 31 Dec 2022

This work is licensed under a Creative Commons Attribution 4.0 International License.

©2022 The Author(s).